Abstract: Tracheobronchial foreign body aspiration is a common childhood emergency which is a leading cause of death. Foreign bodies in trachea and bronchus have been extracted by rigid bronchoscopy under general anaesthesia. This study aim is to study cases of foreign body aspiration and its management with available institutional facilities and deduce standard operating protocol in management. The present study performed with 30 patients was undertaken at KIMS, Krishna Hospital and MRC, Karad with patients attending ENT OPD and causality with the involvement of paediatrics department. If the patient is in acute respiratory distress, emergency bronchoscopy is warranted, otherwise an adequate procedure with adequate preparation with a skilled anesthesiologist should be considered.