Abstract Background Robotic surgery has gained worldwide acceptance over the past decade, with several studies showing that this technique is safe and feasible. Methods We describe the first robot-assisted Nissen fundoplication for hiatal hernia performed with the new HugoTM RAS (Robotic assisted surgery) system (Medtronic, Minneapolis, MN, USA) in Spain. The innovation of this system is the open surgical console with a 3D-HD display, a system tower and four independent arm carts. Results The surgical procedures were completed without conversion. No intraoperative complications or tech- nical failures of the system were recorded. The operative time was 97 min, the docking time was 3 min, and the length of hospital stay was three days. Conclusions This case report shows the safety and feasibility of Nissen fundoplication for hiatal hernia with the HugoTM RAS system and provides relevant data that may assist early adopters of this surgical platform.