Adenotonsillectomy is one of the commonly done day care surgical procedures in paediatric patients. Airway obstruction following adenotonsillectomy requiring intubation in paediatric patients, is one of the potential complications, and has been reported only in two cases in the literature (1, 2). In neither of the two cases was ventilation reported to be difficult. The inability to ventilate can be catastrophic. We present the first case of airway obstruction and inability to ventilate due to swollen uvula following adenotonsillectomy.