Kethman WC, et al. – Authors seek to present the initial experience with peroral endoscopic myotomy for treatment of achalasia in children. Observations reveal that the procedure can be successfully completed in children for the treatment of achalasia with demonstrated short–term post–operative improvement in symptoms. The adoption of advanced endoscopic techniques by pediatric surgeons may enable development of unique intraluminal approaches to congenital anomalies and other childhood diseases.