We share the surgical technique for a case of spontaneous oesophageal perforation with minimally invasive management in a 42-year-old male. This is a single surgeon experience from Christchurch Hospital, Aotearoa. Boerhaave Syndrome is a rare but potentially life-threatening illness that can result in significant mortality and morbidity. Historically gold standard surgical treatment has been source control with thoracotomy and laparotomy in the unstable patient, however in the age of minimally invasive surgery there is the benefit of faster recovery and fewer complications.1 This report aims to demonstrate a safe outcome based on the stable patient factor. Initial presentation was at a secondary centre, haemodynamic stability and a CT confirming distal oesophageal rupture. A chest drain was placed draining grossly contaminated food debris, IV antibiotic and antifungal were received at the secondary centre. Time from presentation, transfer and to surgery was 10 hours. The surgical repair was achieved with gastroscopy for identifying the extent of mucosal rupture and oesophageal stent placement, laparoscopy for suture repair and combined laparoscopy and thoracoscopy for debridement and washout. A laparoscopic feeding jejunostomy was also placed. He was discharged day 10 post op without any complication and returned electively for stent removal a month later. 1.Aiolfi, A., Micheletto, G., Guglielmo Guerrazzi, Gianluca Bonitta, Campanelli, G., & Bona, D. (2020). Minimally invasive surgical management of Boerhaave’s syndrome: a narrative literature review. 12(8), 4411–4417. https://doi.org/10.21037/jtd-20-1020