Endoscopic submucosal dissection (ESD) for an extensive circumferential esophageal lesion can be challenging. 56-year-old female who presented with dysphagia since 2 months. On esophagogastroduodenoscopy, circumferential irregular mucosa from proximal to distal esophagus was seen with high definition-narrow band imaging showing abnormal Intra-Papillary Capillary Loop (IPCL) pattern - B1. Circumferential ESD of the entire segment was succesfully performed using a J knife. Steroid injections at base of defect followed by esophageal covered stent placement and oral steroids were given to prevent stricture. Histopathology showed a R0 resection, verrucous proliferation with low-grade squamous intraepithelial lesion at the site of nodular lesion. Despite this, patient developed stricture requiring dilations and stricturotomy with ultimately successful resolution.