When esophageal reconstruction has to be repeated the most usual reason is the inadequate length of the transplant. This is mainly due to unfavorable vascular architecture, necrosis of the proximal end, and tactical or technical errors in selection and placement of the transplant and the evaluation of vascular supply and length. Mobilization of the transplant is a relatively low-risk method used in esophageal reconstruction. In some cases remobilization can be combined with transfer of the transplant from the subcutaneous channel to the retrosternal space. The indications for repeat esophageal reconstruction with new transplant material are necrosis or malignant degeneration of the transplant and failure of attempts to reuse the initial transplant.