Abstract: With the development of surgical technique, the concept of anastomosis after resection of esophageal carci-noma has greatly changed. The technique of esophagogastric anastomosis has remarkably developed to lower morbidity and to improve patients' quality of life. At present, the role of anastomosis technique is not as important as it used to be be-cause of changes in epidemiology and the improvement in postoperative management. The successful staple is still the key point of surgery. The learning curve of this new technique is quite different among surgeons because of different clinical experience and number of surgeries they have performed. It is considered that a surgeon need to perform about 5.5 to 15.5 such surgeries to get skilled in this area.