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This is a video presentation of a patient who was incidentally found to have an esophageal mass. EUS revealed a 25 x 14mm hypoechoic submucosal lesion at 28-30cm arising from the muscularis propria with normal overlying mucosa and no obvious nodal involvement. FNA demonstrated spindle cells. A thoracoscopic enucleation was performed and is featured in this video. Final path was consistent with leiomyoma. Port positioning, endoscopy, esophageal mobilization, mass enucleation, and muscular layer reapproximation are featured in this video.