For airway obstruction due to extraluminal compression, the only endoscopic treatment, aside from dilation with a rigid bronchoscope, is the placement of stents or endoprostheses. Several studies6–7 have demonstrated the utility of tracheal and bronchial stents for benign airway obstruction. These wire stents are desirable because they can be incorporated into tissue with less bronchial obstruction and mucus plugging than silicone stents. However, there are problems with their use. These include excessive granulation, hemorrhage, malposition, migration, perforation, and unraveling. In a small study8 of four patients with tracheal stents, main bronchial stents, or both, all three patients with tracheal stents required their removal for stent-related complications within the first 6 months. The authors of this study suggested that the malacic trachea with its associated variation in shape and diameter during the respiratory cycle may adversely affect the longevity of expandable metal stents. However, growing experience has shown that metal stents, such as the Wallstent, are easy to deploy with adequate radial force, flexibility, and dynamic expansiveness to accommodate the trachea.