Reconstructive surgery of the esophagus with delto-pectoral flap. The use of the delto-pectoral flap in the reconstructive surgery of the esophagus is demonstrated. One flap was used for the one-stage reconstruction of the cervical esophagus. For large defects including the intrathoracal esophageal portion two flaps have been successfully employed. The delto-pectoral flap has shown an ideal vitality and reliability.