A 40-year-old woman presented with neck swelling from last 6 years and diagnosed as Multi Nodular Goiter and was scheduled for total thyroidectomy. General Anesthesia with Endotracheal Intubation was performed. Intra operative period was uneventful. Patient was re-intubated after one hour in postoperative period in view of respiratory distress. Flexible beroptic bronchoscopy revealed laryngeal edema and complete Right RLN palsy. After receiving supportive care, the patient was weaned off the ventilator after 2 days