Foreign body ingestion is a common problem in children age from 6 months to 3 years as they explore things by placing them in the mouth. Coins are the most common being ingested and not surprisingly other sharp foreign bodies such as needles, fishbone, brooch or an open safety pin can also be accidentally ingested by them. We present a case of the ingested open safety pin in a 10-months-old girl. She presented with choking and a brief cyanosis episode. Physical examinations were unremarkable but the chest radiograph showed an open safety pin at the mid oesophagus. She was put under general anaesthesia for removal of the open safety pin however retrieval was unsuccessful. Repeated chest radiograph showed the safety pin had migrated further and 3 days later it was spontaneously eliminated in her stool. We reviewed the urgency, management and techniques for the removal of an open safety pin.