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We thank Dr. Hazebroek and Dr. Smith [1] for their interest in our article and their kind comments on our results. They are concerned about a single aspect of our study population: median age. We report on 54 consecutive patients with large (more than one-third of the stomach in the chest), type III hiatal hernias. The patients’ median age was 64.5 years with an interquartile range (IQR) of 59–68 years, which means that one-fourth of our patients were >68 years old. As reported in a recent review, “the average patient diagnosed with paraesophageal hernia is aged between 60 and 70 years” [2]. In fact, the median age of patients with a large hiatal hernia undergoing laparoscopic repair in the largest published series ranged from 63 to 68 years [3‐7]. …