Laryngopharyngeal reflux (LPR), is a recently recognized and investigated disease. Although there are many reports and studies about LPR in adults, there are not many in children. LPR occurs when gastric contents reflux beyond the esophagus to oropharynx and/or nasopharynx, producing symptoms and tissue damage. It has a wide clinical spectrum ranging from cough to apnea and appearent life treatening event. First of all, diagnosis needs recognition, then appropriate tests should be performed . Treatment depends on the severity of symptoms, disease and existence of underlying disease. LPR, should be sought among children with chronic cough, apnea, recurrent respiratory system infections, and managed by pediatric gastroenterology and ENT departments.