Tracheobronchial foreign body aspiration (FBA) is a major cause of morbidity and mortality in children (1−4). The child may present acutely with evidence of respiratory distress or chronically with symptoms suggestive of respiratory infection or impairment. Prompt diagnosis and expeditious removal of the inhaled foreign body are essential to minimize the associated morbidity and mortality (3). Effective management requires a coordinated, skilled and multidisciplinary approach involving the use of multiple resources. We report a series of five cases illustrating the variable presentations of FBA in children and the management of these challenges.