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Background: Cuffed endotracheal tubes may be useful in special situations like laparoscopy. The present study was conducted to determine usefulness of Microcuff endotracheal tube in laparoscopic surgeries in children. Materials & Methods: The present study was conducted in the department of Anesthesiology. It comprised of 86 pediatric patients of age ranged 1-10 years of both genders. Patients were intubated with Microcuff® tube as per recommended size. In this study, appropriateness of size selection and type of surgery was recorded. Results: Age group 1-2 years had 12 patients with 3.5 size cuff, 2-4 years had 14 with size 4, 4-6 years had 15 with size 4.5, 6-8 years had 20 with size 20 and 8-10 years had 25 with size 5.5. Intracuff pressure variation with supine, with head in neutral position was 11.45 cm H2O, with pneumoperitoneum was 12.87 cm H2O and with head low position was 13.18 cm H2O. The difference was significant (P< 0.05). Type of surgery was orchiopexy in 35, appendectomy in 26, cholecystectomy in 16, splenectomy in 5 and diagnostic laparoscopy in 4. The difference was significant (P< 0.05). Conclusion: The use of uncuffed or cuffed endotracheal tubes in children has several advantages. There was intracuff pressure variation with different positions.