Foreign body in the tracheobronchial tree is serious and, on occasion, fatal. The symptoms and signs can be confused with asthma and pneumonia, leaving the true condition unsuspected. Children one to three years old with a triad of cough, wheezing and decreased air entry should be suspected. A child with protracted pneumonia should be reconsidered. Chest films in the expiratory phase should be taken. In no other operative procedure is it more important to have teamwork and good communication between endoscopist and anesthesiologist, when the diagnosis is made.

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