Bilateral vocal cord paralysis refers to the neurologic causes of bilateral vocal cord immobility and specifically refers to the reduced or absent function of vague nerve or its distal branch recurrent laryngeal nerve. Various etiologies for vocal cord paralysis are neck surgery (predominantly thyroid), trauma, neurological disorders and laryngeal malignancies. Bilateral immobile vocal cords due to bilateral abductor palsy leads to respiratory distress that can become life threatening Idiopathic causes are the second most common cause of child hood BVCP. Diode laser cordectomy is an alternative option to CO2 laser cordectomy.