Foreign body (FB) ingestions often require emergent endoscopic intervention by a gastroenterologist. Since retention times greater than 24hours have the highest rates of complication, most esophageal FBs should be managed on an urgent basis. This chapter presents the approach to FB retrieval beginning with the pre-procedure assessment and concluding with post-endoscopic issues. The porcine model can play an important role in FB extraction training, providing a unique opportunity for trainees to practice using a variety of retrieval instruments while attempting to extract sharp or dull FBs, both large and small. FBs can be grouped into one of five categories: sharp foreign objects, blunt foreign objects, iatrogenic objects, drug packets, and esophageal food boluses. Endoscopic retrieval of FBs varies in complexity depending on its size, shape, and location within the gastrointestinal tract.