Diffuse idiopathic skeletal hyperostosis (DISH) of the cervical spine is a common spinal degenerative disease observed in 10% to 30% of the general population, 1 and it rarely manifests as dysphagia. Some have regarded it to contribute to stiffness and restricted segmental motion, 2-4 although in some cases, mechanical compression of the tracheoesophageal complex can result in dysphagia, hoarseness, and even dyspnea. It is presumed that dysphagia or airway obstruction due to cervical DISH is present in only 0.1% to 4% of cases: 5-7 Some authors refer to it as DISH-phagia, 8 which is a neologism of DISH and dysphagia. The prevalence of DISH-phagia is unknown, as many cases are not reported because of unfamiliarity among physicians with its signs.The disease course and treatment strategy of DISH-phagia are not established. While a few studies have reported longterm surgical outcomes, 9-12 no statistical analyses have been performed in this context. This study aimed to outline progno-