Esophageal duplication cysts are uncommon embryologic entities that are often discovered incidentally. When identified, complete excision is the recommended treatment regardless of symptoms. We report the case of a 2-year-old boy with a distal esophageal duplication cyst discovered incidentally during laparoscopy for fundoplication. The esophageal duplication cyst was completely resected and a 360-degree fundoplication was then constructed, incorporating the cyst resection site. This is only the second report describing complete laparoscopic excision of an incidentally discovered esophageal duplication cyst in a child. This method is a safe and effective way of managing these lesions.