Diffuse idiopathic skeletal hyperostosis is a chronic entesopathy which causes excessive formation of osteophytes along the ventral spine in the absence of degenerative, traumatic and inflammatory pathologies of spinal ligaments or paravertebral muscles. Dysphagia is the most common symptom of this disease which may need surgical management. In this article, we report three cases with diffuse idiopathic skeletal hyperostosis treated in our department. The clinical and diagnostic imaging characteristics along with treatments performed and outcomes of these three patients were described. Diffuse idiopathic skeletal hyperostosis is an idiopathic rheumatological disorder which may need surgical treatments in severe forms of the disease.