Esophageal cancer, like lung cancer, has evolved into a disease that is now treated through an integrated multi-disciplinary team of surgeons, medical oncologists, radiation oncologists, as well as gastroenterologists. These patients are typically treated with multi-modal therapy utilizing radiation therapy and neoadjuvant chemotherapy prior to surgical resection. The post-surgical care and surveillance of these patients is especially difficult since patients often don't resume eating for a prolonged period of time and because they lose significant amounts of weight and strength. Due to the cancer imposed eating difficulties prior to treatment, many patients head into this process already weakened from weeks or months of near starvation. Treatment of this disease should only be undertaken by an experienced thoracic surgeon.