This article presents a robotic-assisted paraesophageal hernia repair with magnetic sphincter augmentation using the LINX device. The video demonstrates port placement, mediastinal dissection, hernia reduction, posterior crural closure, and LINX sizing and placement. Intraoperative endoscopy confirms proper device positioning and intraesophageal length. Technical considerations include preserving vagus nerves, avoiding pleural injury, and ensuring an appropriate LINX fit to balance reflux control and dysphagia risk. The procedure offers an alternative to fundoplication with minimal invasiveness and robust long-term reflux control.