Reflux of acid in the larynx in patients presents with hoarseness of voice, globus sensation and frequent throat clearing. This has now been a separate clinical entity in present scenario. Use of videostroboscopy helps to detect problem earlier to avoid complications and for betterment of treatment. Aim: To evaluate efficacy of videostroboscopy in LPR patients To study the parameters of videostroboscopy for same. Objectives: To emphasize on LPR with and without hoarseness patients Compare findings of both. To plan appropriate treatment and sequential follow up using stroboscopy in both groups. Methods: This is a prospective comparative study. 157 patients who came to ENT OPD with LPR were taken into study. Patients who comply with inclusion and exclusion criteria included. LPR symptoms assessed using Reflux symptom index (RSI) included in study. RSI > or equal to 13 were taken into study and divided into 2 groups based on with hoarseness and without hoarseness of voice. Stroboscopy done for both groups and its parameters were analysed and compared. Results: Videostroboscopic comparison with above mentioned parameters done for both the groups by chi square test. P value statistically not significant on comparing findings in both groups and also findings observed in LPR with hoarseness of voice were present in LPR without hoarseness of voice. Conclusion: Videostroboscopy helps in early diagnosis of LPR. It helps in preventing LPR complications in larynx Increases quality of life after treatment by improving phonation. Videostroboscopy serves as better diagnostic and prognostic tool.