Abstract Background Perforation of oesophagus and stomach during paraoesophageal hernia (POH) repair can be caused by traction on the lower oesophagus, gastro-oesophageal junction (GOJ) fundus, or a thermal injury from energy device dissection. Iatrogenic complete transaction elective laparoscopic POH is extremely rare. Here we reported this unusual complication. Methods A 79-year-old man with ...