The authors report on a child with tracheoesophageal fistula secondary to disc battery ingestion. Through a low cervical collar incision with limited sternal split, the fistula was primarily repaired, and the omohyoid muscle and thymus were mobilized to cover the suture lines. There are no signs of recurrent fistula 6 months after the operation. The anterior cervical approach with limited sternal split provided excellent access to the fistula. To the authors' knowledge, this is the first report of successful primary repair of a tracheoesophageal fistula secondary to disk battery ingestion.