Achalasia is a motility disorder that reveals itself with an increase in lower esophageal sphincter (LES) pressure, loss of peristaltism at the lower end of esophagus and with lack of LES relaxation. Patients admit with the complaint of increasing dysphagia throughout years. Diagnosis is achieved by esophageal manometry and barium graphies. Choices of medical treatment are pneumatic dilatation, bouginage, botulinum toxin injections, nitrates and calcium channel blockers. Best effective treatment of achalasia is the ablation of lower esophageal sphincter. In order to prevent reflux caused by myotomy, fundoplication is frequently added to the operation. Laparotomy and lately laparoscopy took place of myotomy performed previously through thoracotomy, thus hospital stay is shortened, rapid healing is achieved and costs are able to be reduced. In his case report, we wanted to share our first laparoscopic Heller myotomy and Toupet partial posterior fundoplication experience.