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Introduction: Gastro-esophageal reflux (GER) is one of the most prevalent foregut diseases in pediatric patients. When medical treatment fails, the surgical approach is the gold standard. The aim of our study is to assess the long term outcomes of fundoplication performed in our center. Methods :A Retrospective study at the department of pediatric surgery from 2014 to 2022 was conducted. An analysis of the data of all patients operated for GER with a minimum retreat of 4years. Results : Among 40 patients operated for GER only 32 patients were included. Sex Ratio H/F was 0, 62. The median age was 28 months and the median weight was 11, 5 kg. Five patients had neurological impairments and no neuromuscular disorders were reported. Conclusion:Laparoscopic antireflux surgery is of value in children. Long-term results after surgical treatment of GER by Nissen fundoplication are satisfactory with notably a progressive improvement of symptoms.