Introduction: Esophagectomy is considered one of the most complicated, difficult to perform, and physiologically altering operations performed by surgeons.
Discussion: Outcome, not only depends upon surgeon and hospital volume but also involves a "supporting cast" of health professionals, such as physical therapy and ICU. The complementary skill set of the surgeon may also influence esophagectomy outcomes.
Conclusions: Young surgeons can perform esophagectomy with low mortality while their volume increases if they engage and involve all of the components in this paradigm.