Cervical esophagostomy is an effective method of providing long-term tubal alimentation for the chronically ill and debilitated patient. Elimination of an unsightly feeding tube and unpleasant irritation to the nose and upper-airway passages contributes to the patient's comfort and wellbeing. Cervical esophagostomy eliminates the inconveniences of gastrostomy and is not accompanied by skin irritation caused by regurgitation of food. The technique is superior to and should, in the future, replace gastrostomy for patients with swallowing problems. The many advantages discussed far surpass the few complications encountered. New modifications of the technique have lessened the incidence of complications, which should lead to greater acceptance of the procedure.