New strategies in achalasia management are improving surgical and endoscopic outcomes for better patient care.

• Minimally invasive techniques like robotic myotomy and POEM have significant advantages over traditional methods.
• Treatment can now be tailored based on manometric subtype, esophageal structure, and patient health, increasing success rates.

Surgeons should prioritize individualized treatment plans to enhance patient quality of life and manage complications effectively.

• Ongoing innovations and longer follow-up are crucial for refining these treatment protocols.