The term of retrosternal goiter means that more than 50% of thyroid gland descends in the thorax. These commonly present as asymptomatic lesions, but less commonly may also cause airway and esophageal compression. Surgery remains the most effective treatment for retrosternal goiters. We report the case of a retrosternal goiter which compressed and dislocated the trachea and esophagus. It was excised using a transcervical approach. The patient recovered well and was discharged at postoperative 3 day.