The treatment of achalasia is continuously improved for the development of technology, but each treatment has its own advantages and disadvantages. After a network meta-analysis of different treatment for achalasia, this study found that application of anterior peroral endoscopic myotomy was the best treatment to improve achalasia symptoms in a 12-month follow up but had high risk of gastroesophageal reflux disease. This study supports SDG 3 Good health and wellbeing.