Ping Hong Zhou, MD uses an Endo FLIP 2.0 to diagnose type II or type III Achalasia. In this case the patient is a 61-year-old woman with history of anxiety and depression presenting for the management of her Achalasia. The symptoms have been present for two years with an ASA classification of two. There has been no prior treatments for this condition, and the Eckart score is nine. This video is part of the 11th Annual Long Island Live Endoscopy Course, Frontiers of Endoscopic Surgery.