Gastric cancer remains one of the foremost important cancers around the world because it positions as the fifth most common cancer and the fourth driving cause of cancer passing all-inclusive. Situs inversus totalis (SIT) alludes to a turned-around area of the stomach and thoracic organs. The heart is found on the correct side of the chest (dextrocardia) with a total inversion of the heart chambers. The ordinary pulmonary anatomy is additionally turned around, so the cleared-out lung has three flaps and the proper lung has two flaps. In addition, the liver and gallbladder are found on the cleared-out side of the guts, though the spleen and stomach are found on the proper side. The remaining internal structures are moreover a reflected picture of the typical. This natural irregularity is outstandingly remarkable with a pace of one case in 10,000 births. SIT might be a phenomenal intrinsic irregularity that stances unique difficulties amid careful organization. Preoperative organizing, counting imaging and the mindful idea of careful techniques, are fundamental for powerful outcomes in SIT patients with gastric disease. The use of laparoscopic and automated procedures has seemed, by all accounts, to be secure and practical in this calm people. Advanced research is expected to push ahead the comprehension of the aetiology and optimal organization of SIT patients with gastric disease. SIT could be a remarkable innate eccentricity that stances unique difficulties during careful organization. Preoperative orchestrating, counting imaging and the wary idea of surgeries, are crucial for productive outcomes in SIT patients with gastric disease. Advanced careful fitness is expected to play out a definite lymphadenectomy in calm with SIT by envisioning the exact reflected image of the existing frameworks during the activity. The diligent had an ordinary intra-and postoperative course and was taken after up at the short-term division with no demonstration of rehash. All in all, medical procedures in comprehension with peritoneal disease and SIT can be safely performed by paying thought to the improved anatomic designs amid the activity.