Even though pulmonary tuberculosis is prevalent in India, its complications such as fistulae requiring surgical intervention have been rare in recent times. Nonsurgical treatment of pulmonary tuberculosis and its sequelae have generally yielded satisfactory result. One rare case of tuberculous esophagobronchial fistula in a young adult is reported here. The relevant literature highlighting the anesthetic and surgical management strategies of this pathology is briefly reviewed. Complimentary surgery may be necessary in multidrug resistant cases, or complications thereof and those that fail to respond to antituberculous therapy to achieve complete anatomobiological eradication of the disease.