The management of airway foreign bodies has its origins in the work of Gustav Killian and the development of interventional bronchoscopy. Annually, a substantial number of patients, spanning different age groups, inhale foreign objects into their tracheobronchial tree. Timely diagnosis and swift removal of the object necessitate a heightened level of suspicion. The nature and type of the foreign object significantly influence the ensuing inflammatory response and the challenges associated with its extraction. The choice between rigid and flexible bronchoscopy should be guided by individual considerations, encompassing the nature and location of the object, as well as the potential for complications. A growing assortment of tools is available to aid in the retrieval of airway foreign bodies. Adequate preparedness and team training are imperative. This segment will examine the epidemiological aspects and risks related to foreign body aspiration and discuss the clinical approach and endobronchial tools accessible to the endoscopist.