Background: Foreign bodies in aero-digestive tract are paediatric emergencies contributing to high morbidity and mortality requiring early prompt diagnosis and treatment. Most commonly seen in children. They comprise one of the preventable causes of accidental death in children. Methods: The analysis is based on prospective study undertaken on 94 patients who came with history or features suggestive of foreign body ingestion or inhalation to Causality , Paediatric OPD and ENT OPD of Darbhanga medical college and Hospital, Laheriasarai. Study duration of two years. A detailed history, clinical examination, investigations like blood examination and radiology findings were recorded in aprinted preformed questionnaire. Bronchoscopy / Endoscopy findings and outcome were also recorded for each patient. Conclusion: Foreign bodies in the aero digestive tract are life threatening paediatric emergencies. Measure should be taken to prevent these accidents by, instructing parents to abstain from feeding dry fruits, nuts, and seeds to their children. Parents and care givers should be trained to treat choking episodes in children. Early diagnosis and treatment helps to reduce complications and mortality.