Laparoscopic fundoplication, like other laparoscopic procedures, has reduced wound-related morbidity; resulting in shortened hospital stay, diminished postoperative discomfort, and earlier return to normal activities. There are yet controversies about the necessity of division of the short gastric vessels (SGV) and full mobilization of the gastric fundus to perform an adequate fundoplication. Thirty patients were included in this study; 15 females and 15 males. Their ages range was 28 to 56 years (mean 45). Patients were divided into two groups, undergoing fundoplication with division of the short gastric vessels (Nissen fundoplication, group A) or without division of the short gastric vessels (Rossetti modification, group B). The operating time was 115-175 minutes (mean 140) in group A compared to 85-135 minutes (mean 107) in group B. The mean hospital stay was 2.5 days (range 2-5 days) for group A and 2.3 days (range 2-4 days) for group B. It was clear that dysphagia and inability to belch or vomit were more common in group A, whereas epigastric fullness, discomfort and early satiety were more common in group B. However, the difference was not statistically significant. Both procedures had overall similar results over one year post operatively. The choice of procedure can therefore be left to the surgeon who will decide according to intra-operative situation and his experience, which also affects the duration of the procedure