Background: Giant paraesophageal hernias have a surgical indication in case of symptoms.Since twenty years ago robot-assisted repair was incorporated to overcome the limitations of the laparoscopic surgery, and to offer new advantages.Objective: The objective of the study was to report the experience on repairing giant paraesophageal hernias assisted by robot in a fourth level hospital in Bogotá, Colombia, Shaio Clinic.Methods: Retrospective and descriptive study of five cases of giant paraesophageal hernia type III or IV, taken to robotic correction during August 2016 to June 2018 evaluation of post-surgery outcomes.Results: Five paraesophageal robot-assisted repairs were performed.Mean surgical time was 146 min, one conversion to open surgery, the average intraoperative bleeding was 100 mL, hospital stay time of 2.2 days.Morbidity, mortality, and recurrence percentages in the short time were equal to 0%.Conclusions: Robot-assisted repair of giant paraesophageal hernias has shown advantages that overcome the limitations of the laparoscopic approach such as dissections in difficult-to-reach angles, increased accuracy, ergonomics, three-dimensional, and closer view of the workspace.In addition, robot-assisted repair promotes better surgical and postoperative outcomes; these advantages have been demonstrated mainly in the repair of giant paraesophageal hernias.