Foreign body can only enter the air passage if there is some interference with the normal reflex action, such as sudden inspiration while eating, playing, fright or laughter. Inhalations of foreign bodies are more common in children as compared to adults. Anaesthetic management for removal of FB is a great challenge to an anaesthetist. Sharing of airway by both anaesthesiologist and surgeon poses difficulty in ventilation.We report a case of inhalation of rare foreign body i.e. coin in an adult patient.