A newborn baby boy presented with choking episodes during feeding. He was diagnosed with Type 2 tracheo-esophageal fistula, where the esophagus ends in a blind pouch and a fistula connects the upper pouch to the trachea. Treatment includes stopping feeding, providing IV fluids, placing a nasogastric tube in the upper pouch to drain secretions, elevating the baby's head, and definitive repair surgery. The prognosis depends on any associated birth defects.