A total of 16 infants with esophageal atresia and tracheoesophageal fistula were treated over 4 year(1990~1993). The overall survival rate was 87.5%. Associated anomalies were identified only in three patients(18.8%), which is very low compared with that of western countries. Extrapleural approach, end to end anastomosis of blind esophagus, one layer anastomosis with vicryl suture and postoperative ventilatory support minimized late stricture. There were 4 postoperative esophageal stricture, two of them required repeated bougination and two of them underwent resection and anastomosis of the stricture.