A juvenile loggerhead sea turtle (Caretta caretta) was referred for removal of a fishhook lodged in the coelomic portion of the esophagus. Attempts at manual and endoscopic extraction were unsuccessful and resulted in a 6-cm tear in the coelomic portion of the esophagus. A supraplastron approach was made to the coelomic cavity, allowing access to and repair of the esophageal tear. The turtle recovered well and was able to be released to the wild. The surgical approach was associated with less trauma and shorter healing and rehabilitation times, compared with traditional plastron osteotomy.