Law et al describe a 1-layer esophageal anastomosis used since 1996. They studied 218 consecutive patients prospectively, primarily for morbidity and mortality rates, anastomotic leaks, and stricture formation and recurrences. Anastomotic leaks occurred in 7 patients (3.2%) of whom 3 required reoperation. Hospital mortality was 0.9% attributed to myocardial infarction and malignancy. Anastomotic strictures developed in 24 patients (11%) primarily in cervical and distal stomach hook-ups. Recurrence occurred in 8 patients (3.7%), none of whom had a histologically involved resection margin. Thus, the 1-layer, continuous, hand-sewn technique seems safe and effective.