Airway foreign bodies can be a life-threatening emergency. Prompt removal of the foreign body is essential in preventing complications such as obstructive pneumonia, airway compromise, and wheezing. Rigid bronchoscopy has been advocated as the procedure of choice for the removal of foreign bodies in the airway. With the advent of fiberoptic flexible bronchoscopy and newer instruments, the use of flexible fiberoptic bronchoscopy to diagnose and remove tracheobronchial foreign bodies has risen. We reviewed the existing literature to determine the efficacy and safety of using flexible fiberoptic bronchoscopy in the evaluation and removal of foreign bodies from the tracheobronchial tree.