The management of airway during anesthesia is mandatory but it is very difficult in certain diseases, especially when a tracheoplasty and bronchoplasty is done. Tracheal stenosis is caused by congenital factors, trauma, physical compression, infection, intrabronchIal granuloma, tumor etc. Among those causes, congenital tracheobronchial stenosis is very rare and it accompanies pulmonary arterial sling and cardiovascular anomaly. Our anesthetic experience of succesful tracheal management during tracheobronchoplasty (3 times), bronchoscopic examination and bougienation (7 times), insertion of a single stent (1 time) and double stents into the trachea and the main bronchus (2 times) on a child who has a congenital complete circular tracheal cartilage and pulmonary arterial sling which caused tracheal stenosis will be reported, along with a literature review.