Background: In pediatric surgery tracheoesophageal fistula (TEF) and Esophageal atresia (EA) are the common congenital anomalies.The present study was conducted to assess the outcome of Tracheoesophageal Fistula Surgery in a Pediatric Surgery Institution. Material and methods: A retrospective study was done in the department of pediatric surgery. The study was done with the patient records for a period of two years. All the cases operated for TEF/EA were included in the study. Data was analyzed. P-value of < 0.05 is considered as significant. Results: In the present study total operated cases were 130. Male and Female babies were each 65 (50%). Primary TEF Repair was done in 104 cases and Esophagostomy/ Gastrostomy (EG) was done in 26 cases. Among the primary TEF repair case 53 were males and 51 Females. In EG group 11 were Males and 15 Females. Total number of cases survived postoperatively and discharged were 34 (26.15%) and the remaining 96 (73.84%) cases were died postoperatively or discharged against medical advice. Conclusion: The present study concluded that total number of cases of Tracheoesophageal Fistula survived postoperatively and discharged were 34 (26.15%) and the remaining 96 (73.84%) cases were died postoperatively or discharged against medical advice.