The assessment of outcome after paraesophageal repair is difficult and complex. There is a wide range of reported outcomes that are not consistently defined. The focus of this article is on short-term (≤5 years) and long-term (>5 year) outcomes after laparoscopic paraesophageal repair and reviews key patient-reported outcomes (gastroesophageal reflux disease [GERD]-related and non-GERD-related symptoms), radiologic recurrence, additional therapy, and objective measurements. Overall, patients reported an excellent improvement in their quality of life after repair that remains durable. Recurrences are lower when axial and radial tension is addressed. Reoperative surgery is infrequent.