This article describes our experience with 3 cases of iatrogenic rupture of the trachea (2 cases secondary to orotracheal intubation and 1 to tracheostomy), all of which required surgery. We discuss the indications for surgical treatment and the technique of choice, and review the literature. Based on our experience we advise early intervention and direct suture of the lesion; if mechanical support ventilation is needed, we advise using a tube with low-pressure pulmonary tamponade.