Bilateral vocal cord palsy is a life threatening Post-operative complication of thyroid surgery. Vocal cord paralysis may unilateral or bilateral, and could be transient or permanent. During surgery it occurs due to nerve compression, accidental dissection, retraction stretching or electrocautery. The incidence of stridor after thyroidectomy was reported as low as 0.4–14% but can be potentially fatal if left untreated. In rare cases there will be delayed manifestations of BVCP after surgery. We report a case of 45 year old female admitted in the hospital who had developed severe stridor and respiratory distress secondary to bilateral vocal cord palsy 18 days after thyroidectomy.