Background &Aims:The aims and objectives were to evaluate the utility ofGastro™Laryngealmaskairway(LMA) for gastrointestinal(GI)endoscopic procedures for improvement of airway control, to prevent hypoxia andto avoid intubation.Methods:A prospective randomised observational study was conducted in 50 patients, 25 in each group for elective GI endoscopy procedures.Group G : LMA Gastro Group N : Nasal Cannula .All were observed for intraoperative hypoxia/any adverse events/endotracheal intubation. Inclusion criteriawere 18 -60 years, AmericanSocietyofAnesthesiologists(ASA) gradel,ll,lll,ModifiedMallampatiscorEclassIandII,supine/lateral position, Day care,,fasting. Exclusion criteriawere emergency procedure,notnil by mouth,prone position, pregnant and lactating females.Results:50 patients of ASAI,IIand III undergoing GI endoscopic procedure were divided into two groups. Gastro LMA and nasal prong groups;each having 25 patients. In Gastro™ LMA group, 1 patient (4%) required endotracheal intubation and in nasal prong group, 2 patients (8%) required endotracheal intubation. No postoperative complication was noted in any of the two groups.Conclusion:LMA Gastro™ airway is auser friendly device for the gastro physician and anaesthesiologists. It isa useful airway management tool for clinical use in day care GIendoscopic procedures.