Oesophageal atresia (OA) occurs in between 1 in 3500 and 1 in 4500 live births in the United Kingdom (UK) and has a slight male predominance (Burge et al 2013). Although OA can occur in isolation it is common, as with many neonatal surgical conditions, for it to be associated with other structural abnormalities. The most frequently associated abnormalities are cardiac, musculoskeletal, gastrointestinal and genitourinary (Johnson 2005). The following reflective case study will discuss the neonatal care of a term infant born with OA. To protect confidentiality the baby will be known as Lewis (Nursing and Midwifery Council 2015).