Laryngeal stenosis, usually due to acquired subglottic stenosis, is a much more commonly encountered condition than tracheal stenosis. Subglottic stenosis is well managed through established operative interventions such as laryngotracheoplasty and cricotracheal resection. However, tracheal stenosis is potentially more challenging, and the most appropriate operative strategies for management of tracheal stenosis are still under evolution. Tracheal stenosis may be congenital or acquired. The most common form of congenital tracheal stenosis is due to complete tracheal rings, and currently recommended operative strategies include tracheal resection, tracheal autograft, and slide tracheoplasty. Acquired tracheal stenosis is usually traumatic in nature, whether from direct trauma, inhalational injury, or iatrogenic causes. Management of acquired stenosis includes expansion tracheoplasty using cartilage grafts, tracheal resection, and tracheoplasty.