Bagmet N.N., J. Miholic Moscow, Vienna Surgical treatment of gastroesophageal reflux disease (GERD) typically involves fundoplication. To reduce the risk of postoperative dysphagia, one of the leading complications of this treatment, some authors prefer to perform partial (Toupet) fundoplication. The literature contains reports on the effectiveness of this procedure for GERD associated with esophageal motility disorders. This study was conducted at the Clinic of Surgery, University of Vienna (Austria). The long-term results of laparoscopic partial Toupet fundoplication were evaluated in patients with GERD and esophageal motility disorders. Laparoscopic partial Toupet fundoplication was performed in 68 patients with GERD and esophageal motility disorders. A physical examination, esophagogastroduodenoscopy, 24-hour pH monitoring, and esophageal manometry were performed preoperatively, 3 months later, and 1 year afterward. Patients were also surveyed by telephone at later stages. Criteria for impaired esophageal motility included low amplitude (*35 mmHg), *50% simultaneous contractions, or the presence of failed contractions in the distal two-thirds of the esophagus. Preoperatively, 53% of patients complained of heartburn occurring at least 3 times a week, 31% had gastric regurgitation, and 18% had dysphagia. 36% had grade I or II esophagitis (Savary-Miller classification), 57% had grade III esophagitis, ulcerations, strictures, or Barrett's metaplasia longer than 3 cm. The average DeMeester score was 28.3 (range, 0.7–107), with 75% exceeding the normal values ??(normal *14.7). The average operative duration was 120 min (range, 55–315 min). In two cases, technical difficulties led to conversion to an open surgery, both of which were performed in patients from the first five in this series. One patient underwent repeat surgery for a postoperative hernia at the site of abdominal wall puncture. Long-term results were monitored for periods ranging from 3 to 43 months (mean, 15 months). During this period, three patients reported recurrence of heartburn. One year after surgery, none of the patients reported recurrence of regurgitation or dysphagia. Abnormally high values ??of gastroesophageal reflux activity according to the DeMeester scale were detected in one of 40 (2.5%) patients at 3 months and in 2 of 19 (11%) patients at one year. The average DeMeester score was 0.6 at 3 months and 2.6 at 1 year (p * 0.001). Partial Toupet fundoplication effectively reduces the incidence of heartburn and regurgitation in patients with GERD. Dysphagia, one of the main complications of total Nissen fundoplication, was not observed in this series of patients. However, the duration of control of gastroesophageal reflux by this procedure remains unclear. Therefore, before recommending laparoscopic partial Toupet fundoplication as the method of choice in the treatment of GERD accompanied by esophageal motility disorders, a thorough study of the results of this intervention at a later date is necessary.