Introduction Laparoscopic antireflux surgery is a frequently performed procedure for the treatment of refractory gastroesophageal reflux in surgical clinics, with excellent symptomatic results in 90-95% of cases. Despite a high rate of success, the failure of laparoscopic fundoplication occurs in 2-17% of cases. Although some cases can be managed conservatively, in approximately 3% to 6% cases the revision surgery is required due to refractory and recurrent symptoms or appearance of complications. The aim of this study is to evaluate the mechanism of fundoplication failure and to share our revision surgery results. Methods From 2011 to 2017 revision surgery was performed in 9 patients (all women) between the ages of 18 and 63 years. The technical details of the first operation, recurrent symptoms, endoscopic and radiological data were evaluated. The findings on revision surgery, surgical techniques, morbidity, length of hospital stay, and follow-up period were also recorded and evaluated. Results The first procedure was laparoscopic Nissen-Rossetti fundoplication in 8 patients and Dor fundoplication – in one. The types of fundoplication failure were: transhiatal wrap herniations (IA type) in 6 (66.7%) cases, “slipped” Nissen (IB type) – in 1 (11.1%) case, and paraesophageal hernia (II type) – in 2 (22.2%) cases. Two patients were managed primary via laparotomy due to previous open abdominal surgery. Seven patients were operated laparoscopically with a conversion rate of 42.8% (3 cases), caused by dense adhesions (2) and perforation of gastric fundus (1). Nissen fundoplication was redone in 4, converted to Toupet in 2, newly formatted after Dor fundoplication in 1 and was left in place in 2 patients. The repeated cruroplasty was performed in all cases, and in 3 cases – reinforcement with Gore-Tex patch. Laparoscopy operating room medium time was 146 (95 to 240) minutes and converted 208 (195 to 220) minutes. Intraoperative gastric injury occurred in 1 (11%) patient. Length of hospital stay for laparoscopic procedure was 5 days, and 8 days for converted ones. Follow-up was 26 (1 to 60) months: all patients without reflux symptoms, 1 mild bloating, and 2 mild dysphagia – without hernia and reflux recurrence. Conclusions The revision surgery is a difficult and risky process with higher rates of morbidity and less satisfactory outcomes than primary surgery, but it can be carried out efficiently and safely by experienced hands in dedicated centers.