More than one-third of patients with esophageal cancer experience significant financial toxicity after esophagectomy, which can complicate recovery and quality of life.

• 37.1% of surveyed patients reported financial toxicity, with risk factors including larger household size (OR 2.3) and low credit score (OR 13.2).
• Nearly 45% of patients reduced work hours or ceased working, emphasizing the need for financial counseling.

Surgeons should consider discussing potential financial burdens with patients prior to surgery to improve outcomes and support during recovery.