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Chronic Pharyngitis is a chronic inflammatory condition of pharynx. Prevalent in adults, sometimes very long duration, symptoms stubborn and difficult to cure. It can present as hypertrophic granular pharyngitis and chronic atrophic pharyngitis. If conservative and symptomatic treatment fails, laser cautery of pharyngeal granulations is done and it gives good result. Laser cautery using Co2 laser is done in Jubilee Hospital Trivandrum in South India.