Introduction: Post-operative sore throat (POST) and hoarseness of voice are common complaints from patients receiving tracheal intubation. Budesonide is used to reduce all these complications and metered dose delivery of drug is considered as simple and less time consuming with high patient acceptability. The present study was study was planned to assess the effect of use of preoperative inhaled budesonide to reduce postoperative sorethroat incidence after endotracheal intubation.