Background: Laryngeal mask and endotracheal tube complications and risks for patients undergoing general anesthesia can have significant clinical implications. Assessing these complications is crucial for optimizing patient care. Aim: Assess complications and risks of laryngeal mask versus endotracheal tube suction for patients undergoing general anesthesia Research design: In this study, a descriptive and correlation research design was used. Setting: The study was carried out at Assiut General Hospital's operating room. Sample: A Purposive sample composed of 60 patients A total of sixty adult patients according inclusive and exclusive criteria. Tools, Tool (I) Patient assessment tool, Tool (II): Risk factors assessment tool, Tool (III): Patients ‘complication assessment tool. Results: Out of the studied patients (60) who underwent general anesthesia, twenty- four patients encountered complications during anesthesia for endotracheal tube, nine of them (30%) developed Damage teeth or lips, four patient experienced Endotracheal tube malfunctions. While fourteen patients (46%) experienced aspiration for laryngeal mask. Complications after anesthesia were experienced by 23.0% of the total studied patients. Bruising and soreness (P value, 0.044), damage to the mouth or teeth (P-value, 0.038), identified as significant predictors for endotracheal tube complications. Conclusion: The application of Laryngeal mask airway has a decreased frequency of complications than endotracheal tube. Believe that the laryngeal mask may be an alternative airway device to endotracheal tube in minor surgery. While endotracheal tube with major surgery. Recommendation: Before surgery, give patients health education and make sure that nurses are well-prepared.