the aim of the study was to evaluate the presentation and management of different type of foreign bodies in tracheo-bronchial tree (TBT). The study was conducted from July to December 2001 at the ENT HMC, peshawar. Patients with history of foreign body inhalation wwere included in the study relevant history was recorded. The data collected was age and sex of patients , history forign body and type of foreign body inhalation, duration, symptoms and signs of foreign body inhalation. The findings of x-ray chest treatment given and peri oeprative complicaitons and bronchoscopic findings were recorded. Bronchoscopy was done under general anaesthesia. Chocking, stridor, wheeze and coughing are the common presentations of foreign body tracheo-bronchial tree inhalation. rigid bronchosopy in experienced hands under general anaesthesia is safe and effective diagnostic and therapeutic procedure.