Abstract: Background and Objective: Gastric dilatation-volvulus (GDV) is an acute medical and surgical condition caused by several pathophysiologic effects that occur secondary to gastric distention and malpositioning. Materials and Methods: Surgical procedures utilized in the treatment of gastric dilatation-volvulus can be divided into 2 categories, (1) Immediate decompression and (2) Therapeutic gastropexy. Immediate decompression is performed with a successfully passed stomach tube secured to the patient or temporary gastrostomy as described. Therapeutic or prophylactic gastropexy techniques are described. As anatomic repositioning of the stomach is necessary to perform prior to permanent gastropexy. Repositioning occasionally occurs spontaneously at the time of gastric decompression. Knowledge of normal anatomy is necessary to understand how repositioning is performed. A specific ‘Surgical Plan’ should be in mind before entering the operating room theatre. This will improve the efficiency of surgery and thus decrease overall surgery time. Conclusion: Gastric dilatation volvulus (GDV) is characterized by accumulation of gas within the stomach, rotation of the stomach, failure of eructation and pyloric emptying, increased gastric pressure and shock. It can be acute or, more rarely, can be chronic, acute cases can be rapidly fatal. It is common in deep-chested dogs and the risk of a large or giant breed dog developing. Rapid diagnosis, stabilization and surgical management can lead to a good prognosis for these dogs. The treatment of gastric dilatation-volvulus with two principal surgical techniques.