In this episode of we explore achalasia, a rare esophageal motility disorder. They discuss its neurological origins, hallmark symptoms like difficulty swallowing both solids and liquids, and diagnostic methods including barium swallow, endoscopy, and manometry. Treatment options—ranging from lifestyle changes and medications to Botox injections, pneumatic dilation, and surgical myotomy—are reviewed. The episode emphasizes the importance of lifelong surveillance due to an increased risk of esophageal cancer, highlighting the profound impact of this condition on everyday life and the necessity of ongoing medical care.