Background: Laryngopharyngeal reflux disease is an extraesophageal variant of gastro-esophageal reflux disease. It is a disease with high prevalence which is usually under reported or misdiagnosed due to lack of definite diagnosis. It can affect the quality of life of the patients. Hence, it is important to identify the risk factors associated with the disease.Methods: This was a hospital based cross sectional study conducted in a tertiary care hospital of Kerala for aperiod of one year. All patients with more than 18 years of age presented with throat and voice symptoms for more than six weeks were included in our study. A questionnaire based on Reflux Symptom Index (RSI) put forward by Belafsky were distributed to the patients and the responses were collected. Out of patients who responded, those who had an RSI score > 13 were diagnosed to be suffering from LPRD. Additional questions were included in the questionnaire to assess the risk factors. All patients having RSI >13 underwent flexible endoscopic examination to establish Reflux Finding Score (RFS) put forward by Belafsky et al. Patients having a score of 7or higher were classified as having LPRD.Conclusion: In our study we found the prevalence of laryngopharyngeal reflux to be 20.89%.The most common symptoms among the LPRD positive patients in our studygroup were sensation of lump in throat and heart burn,chest pain, indigestion or stomach acid coming up.