Cancer of the hypopharynx and cervical esophagus has been a major therapeutic challenge to many surgeons. Here, we report 3 cases of successful esophageal reconstruction by gastric pull-up and pharyngogastrostomy after pharyngolaryngoesophagectomy for hypopharyngeal malignancy. Postoperative recoveries were uneventful. Oral feeding was encouraged a week or two after the operation and all the patients were discharged without feeding problem.