The treatment consists of disconnection of the fistula (abnormal communication) and closure of resultant holes in the food pipe as well as the windpipe. We usually try to put some living tissue in between these repaired holes. In the neck this procedure can be easily performed by the open method. However, in the chest, it requires major Thoracotomy, which has been our teams special area of interest for over a decade. After this extensive experience, now we are in a position to do this complex operation of Tracheoesophageal fistula by Key-hole/robotic method also.