Recurrent respiratory papillomatosis (RRP) is a rare disease which is caused by human papilloma virus (HPV). It is a warty growth in the upper airway may cause significant airway obstruction or voice change. Though it is rare but one with severe morbidity and occasional mortality. It is caused mostly by HPV 6 and 11. Juvenile-onset recurrent respiratory papillomatosis (JoRRP) which is Juvenile form of RRP affects children, most common between the ages of 1 to 4 years.