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It is estalished that after surgical intervention the clinical manifestations of hiatal hernias are enhanced throughout the first year. The abdominal operation aggravates reflux-esophagitis. The limitations of indications to the operation based on the absence of visible in fibroesophagogastroscopy morphological changes are not always justified. Failure of supported antireflux mechanism even in uncomplicated forms of hiatal hernias in combination with abdominal cavity organs diseases involving surgical treatment is the indication to associative operative intervention, hernias elimination and correction of associative abdominal pathology.