We performed laparoscopic Nissen fundoplication on fifteen patients (age 72.3±9.5) with gastoesophageal reflux disease (GERD) and evaluated the results of the operation and short-term prognosis. Three patients had grade A (a case of type III hernia with gastric volvulus and two cases of stenosis at the hiatus were included), one patient had grade B, seven patients had grade C and four patients had grade D reflux esophagitis (according to Los Angeles classification). Our standard procedure is floppy Nissen fundoplication with 54 or 60 Fr bougie passing into the stomach. Mean operative time, loss of blood, diet start and length of hospital stay after operation were 128±43.3min, 74.0±93.0g, 1.1±0.3pod and 7.9±1.7days, respectively. In our short-term follow up (9.9±6.8months), eleven out of fifteen patients are asymptomatic and two have mild esophagitis which are well-controlable with H2 blocker (86.7% in efficacy). Reoperation was successfully performed on two patients with recurrent reflux esophagitis. In summary, laparoscopic Nissen fundoplication provides excellent surgical results in the point of effectiveness as well as less invasiveness.