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Morgagni's hernias are rare congenital anterior diaphragmatic hernias for which the optimal method of repair is unknown. This video presents a morbidly obese patient with oxygen dependent chronic obstructive pulmonary disease and a Morgagni's hernia that compresses her entire right lung. Omentum and colon are seen herniating through the 10x15cm defect. Through a laparoscopic approach the intra-abdominal contents were reduced, the defect primarily closed, and re-enforced with mesh. After the repair, the patient had significant improvements in pulmonary status. Laparoscopic repair with mesh re-enforcement is a viable and easily accomplished approach for Morgagni's hernia repair.