A 71 year-old female presented with dysphagia and reflux. A barium study demonstrated an esophageal diverticulum and a hiatal hernia. The patient opted to have a laparoscopic repair. The dissection proceeded with excision of the hernia sac, followed by intraoperative endoscopy to localize the diverticulum. The diverticulectomy was then performed, with both endoscopic and laparoscopic evaluation. A long esophageal myotomy was created, and the crural defect repaired. A partial fundoplication was then done. Post-operative barium study showed an open myotomy without evidence of leak. The patient has been seen in follow-up and is doing well, with resolution of both her dysphagia and reflux.