This study designed to evaluate the use remijentan.il followed by pro-pofol or thiopental without muscle relaxants for endotracheal intubation compared to thiopental followed by succinylcholine as a control group for obtaining clinically acceptable intubation conditions and hemodynamic changes. We studied 90 healthy children (ASA I-II), aged three to nine years presenting for elective ENT-surgery. The children were enrolled into three equal groups: Group A received remifentanil 3ug/kg followed by 2.5 mg/kg propofol, Group B received remifentanil 3ug/kg followed by 5 mg/ kg thiopental, and Group C as a control group received 5mg thiopental fol-lowed by succinylcholine 1.5 mg/kg. The tracheal intubating conditions were considered excellent in 30 (100%) of children in Group C, 27 (90%) in Groups A and 24 (80%) in Group B. Mask ventilation done easily in all children and complete jaw relaxation in 93.3% of children in Group A, 86.6% in Group B and 100% in Group C (significant difference between Group B and C P