Bariatric surgery alters normal anatomy of alimentary canal. If hiatal hernia occurs after Roux –en –Y bypass surgery it becomes difficult to diagnose as it will not present with typical symptoms. Majority of patients may remain asymptomatic or may present with atypical symptoms like epigastric pain radiating to jaw or back. In this case a 60–year–old lady who previously underwent gastric bypass surgery for weight loss along with hiatal hernia repair was diagnosed as a case of recurrent hiatal hernia and treated laparoscopically.