We are reporting the case of a female child presenting for the management of symptomatic extensive tracheal hemangiomas who was successfully treated with multiple ablative procedures using KTP laser. This is the first description in the English literature of the use of KTP laser as primary treatment modality for the endoscopic ablation of tracheal hemangiomas in a child. We review treatment recommendations for symptomatic airway hemangiomas in the pediatric population, highlighting the advantages of KTP laser for tracheal lesions.