Three cases of congenital atresia of the esophagus are presented with roentgenograms. In 2 of the cases, the diagnosis was confirmed by autopsy. While this is a rare congenital deformity, it is more frequent than statistics would indicate. It should always be considered in cases of asphyxia in the newborn with a bronchopneumonic syndrome. The condition is incompatible with life, and operation holds the only hope; but as yet the technic has not been successfully standardized.