Esophageal motility disorders cause abnormalities in the contraction mechanism of the esophagus usually manifesting as non-cardiac chest pain or the sensation that food and/or liquids seem to get hung up in the chest after swallowing. The primary motility disorders are achalasia, diffuse esophageal spasm, nutcracker esophagus, and ineffective peristalsis. Esophageal function is usually assessed with motility testing, also called manometry. We now offer High Resolution Manometry that more accurately evaluates the motor function of the esophagus. Patients with esophageal motility disorders are then treated, for example in achalasia, they may undergo pneumatic endoscopic balloon dilation, BoTox injection, or be referred to a surgeon, as appropriate for each individual circumstance based on detailed consultation.