RTF is generally comes use for children or old age. RT insertion is simple and easy method. Nasogastric tube insertion in an unconscious or intubated patients may be difficult as they cannot follow instructions, So many doctors have history of high first attempt failure. The use of nasogastric tube is desirable for some surgical procedures to keep stomach deflated (like laparoscopic surgeries) or for the short term administration of feeds post-operatively. Sometime we needed NGT under vision with help of magill’s forcep, Basically NGT insertion is a blind nasal procedure.