The prevalence of gastro-esophageal reflux (GERD) in Asian population is reported to be lower than in western population. Extraesophageal presentation of (GERD), such asthma, paroxysmal laryngospasm, excessive throat phlegm, chronic cough, laryngeal disorders, postnasal drip and various ENT symptoms, have been widely recognized and reported from the Western world, but few from the Asian countries. Our case an eminent cardiovascular surgeon of China (him self patient and first author is baffling and interesting as he was picked up only on PH manometery. Conclusion: We reported a patient Atypical GERD with severe respiratory symptoms and no gastrointestinal symptoms who was cured by laparoscopic fundoplasty. Conclusion: A subgroup of patients among those diagnosed as asthma has only atypical presentation of GERD. We propose a possible mechanism of reflux spraying the larynx based on esophageal barium exam. All patients with severe respiratory symptoms, especially asthma should be evaluated for GERD.