Background: Pain is the common cause of needle phobia. Many advanced techniques help in reducing the pain factor. Objectives: To evaluate the efficacy of vibraject versus pre–cooling of anaesthetic site with ice stick and conventional injection technique. Materials and Methods: 45 visually impaired children aged 6–13 years requiring dental treatment under local anaesthesia were selected and randomly divided into 3 groups of 15 each: Group 1– procedure was done with Vibraject™ Group 2– pre–cooling the anaesthetic site with ice stick Group 3– local anaesthesia using a conventional method Readings of various physiological parameters were assessed and recorded before, during & after the procedure by pulse oximetry & compared between vibraject, conventional & ice stick method. Results: Statistically significant result was obtained for Vibraject in comparison with ice stick and conventional technique. Conclusion: Vibraject proved to be better technique for child patients with needle phobia.