Nine cases of esophageal perforation in children were treated surgically. An operation used in two of them is described which consists of a gastrotomy with a double gastrostomy in order to exclude the esophagus temporarily from use. Nasopharyngeal suction and suction through the upper gastrostomy prevent contamination of the mediastinal area by salivary and gastric reflux. The lower gastrostomy permits early administration of food. In two of the cases spontaneous healing was observed within a period of two weeks. The other patients in whom different methods were used required a longer time for convalescence and experienced postoperative complications.