Backgound and Aim: Foreign body lodgement in aero-digestive tract is a common surgical emergency presenting to the department which contributes to high morbidity and occasional mortality. Severity of symptoms depends upon the site, size, composition, and the period for which the foreign body has been present. Aim of our study was to analyze the event following foreign body aspiration in aero-digestive tract regarding-demographic characterstics of patients, history of event, type and site of foreign body, anaesthetic management and complications. Method: 65 cases of foreign body in aero-digestive tract (50 in food passage and 15 in airway), treated over one year period (prospectively) were reviewed. Foreign body retrieval was done by invasive procedures like laryngoscopy assisted / rigid endoscopy assisted under general anaesthesia. All the cases were done under controlled ventilation with muscle relaxant. In trachea-bronchial cases intermittent positive pressure ventilation via jet ventilation most commonly used technique. Results: The incidence of foreign body ingestion - in food passage 56% of patients were below 6 year of age, 30% between 3-6 years of age followed by 20% between 1-3 years. While in case of airway 53.33% were between the age group of 1-3 years. Most common site of lodgement of foreign body was cricopharynx (44%) in food passage and right main bronchus (53.33%) in airway. Most common foreign body found was coin (56%) in digestive tract, while vegetative foreign body (73.33%) in airway. In food passage most common symptom was dysphagia (82%) while in airway cough (66.66%) and difficulty in breathing (80%) were common findings. Conclusion: Foreign bodies in aero-digestive tract constitute a serious and potentially fatal situation usually occurring in pediatric population. Controlled ventilation with muscle relaxant is the preferred anaesthetic technique.