Tracheal agenesis is an extremely rare and typically fatal congenital anomaly, with only scattered case reports attesting to of its successful management. This condition usually presents with severe respiratory distress and aphonia after birth. Failed attempts at intubation make neo natal resuscitation difficult. This condition appears to be under-recognized, and there is a lack of con sensus regarding the optimum approach for managing this lethal condition. We report herein a rare case of

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... eal agenesis and describe our experience, following its successful treatment through surgical management.