Objective: To determine the type, presentation, and outcome of esophageal foreign bodies. Methods: This cross-sectional study was carried out at the E.N.T department at Liaquat University Hospital, Hyderabad, during 1 year (from March 2021 to February 2022). Individuals of all ages, both genders and with suspected or confirmed esophageal foreign bodies were included. Diagnostic procedures, such as imaging studies and endoscopic examinations, were performed. The primary focus of the investigation was to delineate the prevalence of different types of esophageal foreign bodies, describe their various presentations, and ascertain the associated clinical outcomes. The patients were followed up to one month to note the outcome of foreign body removed. Data was analyzed using SPSS version 26.0. Results: A total of 288 patients were studied, their mean age was 21.89+19.18 year. Males were 51.7% and females were 48.3%. Most of the patients 57.6% were urban resident and 42.4% were rural resident. In most of the cases having foreign body ingestion were presented with the chief complain of pain and discomfort 57%, difficulty in swallowing 31% and pain on swallowing 12%. On the rigid esophagoscopy foreign body ingestions were followed as most common site of foreign body impaction was upper esophagus (cricopharynx) 71.5%, middle esophagus 27% and there was no any foreign body in 1.5%. In terms of foreign body types coin was 40%, food bolus/meat bone 35% and tooth denture, battery cells, bettlenut, wood stick, fish thorn were 25%. According to age children had coin ingestion as most common ingestion 40% and adults had meat bone/ food bolus impaction 30%. On the patient’s distribution according to complications, the most of the cases had injury to the foreign body impaction site 73.3, injury to teeth 11.7% bleeding (minor) 10% and had esophageal stricture/web found accidentally 5%. Conclusion: Esophageal Foreign bodies were mostly presented with discomfort in throat, difficulty in swallowing and pain in throat. Coin, food bolus, button and meat bones were the commonest type. Injury to impaction site, teeth, bleeding(minor) were observed to the commonest complications and esophageal stricture/web were found in sequel of previous history of oesophagoscope, while no mortality found and all the patients were recovered and on stable condition were discharged from the ward.