Can congenital esophageal atresia be detected during prenatal testing? Is the cost of treatment high? What is the survival rate? What is the quality of life in the long term? The incidence of congenital esophageal atresia accounts for 1/3300 of live births and is often combined with a variety of other malformations. The survival rate is mainly affected by the child’s weight and heart malformation, and the overall survival rate is over 90%. Therefore, newborns with congenital esophageal atresia need to be sent to the doctor for early diagnosis and surgery. Thoracoscopic surgery is also known as minimally invasive surgery, which has the advantages of less surgical trauma, smaller incision scar, better rehabilitation, and no residual chest wall and scapular deformity sequelae compared with traditional open-chest surgery. We are one of the pediatric medical centers with the highest number of congenital esophageal atresia cases treated by thoracoscopic surgery, and have achieved satisfactory results with a higher survival rate than previous open-heart surgery. Since the vast majority of children are type III esophageal atresia with blind ends Q2.0CM on both sides, they can be treated with a single surgical anastomosis and the total cost of treatment is not high if the recovery is smooth. For children with long blind ends that cannot be anastomosed in a single operation, a staged operation is needed to wait for further growth or lengthening of the esophagus, which can be done in the hospital or at home after training (more difficult), and the total cost fluctuates greatly. The overall treatment cost was around 100,000 RMB. Complications after congenital esophageal atresia include: 1) anastomotic fistula; 2) anastomotic stricture; 3) fistula recurrence; 4) gastroesophageal reflux. Anastomotic leak is mostly seen 4-10 days after surgery, and most of them heal on their own. About 1/4 to 1/3 of children with esophageal atresia will have postoperative anastomotic stricture requiring dilatation. The recurrence rate of fistula is about 4-12%, which is a more serious postoperative complication and requires reoperation after clear diagnosis by bronchoscopy. The incidence of gastroesophageal reflux is 30-50%, which can be manifested by recurrent respiratory infections and esophagitis, mostly not serious, and can be treated with posture and medication, but for severe gastroesophageal reflux surgery is needed.