Congenital diaphragmatic hernia / hiatal hernia (Congenital Diaphragmatic Hernia / CDH) alters normal cardiopulmonary physiology in neonates or pediatric patients due to pressure from the abdomen into the thoracic cavity. The open surgical and the laparoscopic approaches pose challenges for the anesthesiologist and the team because of the complications of CDH and the surgery itself. We present a case of successful anesthetic management of a diaphragmatic hernia in a 2-year-old child undergoing laparoscopic surgery.