Background: In this study, we wanted to compare I-GEL and laryngeal mask airway LMA - Supreme in patients undergoing elective surgeries under general anaesthesia. Methods: This was a hospital based randomized, prospective controlled study conducted among 60 patients undergoing elective surgical procedures in the Department of Anaesthesia, after obtaining clearance from Institutional Ethics Committee and written informed consent from the study participants. Results: Ease of insertion of supraglottic airway device (SGA) device was significantly better with IGEL (96.7 %) as compared to LMA - SUPREME (80 %). The difference was statistically significant (p < 0.05). Mean oropharyngeal leak pressure was significantly higher in I-GEL cases as compared to LMA - SUPREME cases (28.65 vs 24.13 mm Hg; p < 0.05). Mean insertion was observed to be significantly faster in I-GEL cases as compared to LMA - SUPREME cases (23.32 vs 29.58 sec; p < 0.05). Conclusion: I-GEL was easier and faster to insert and required less attempts of insertion when compared with LMA-Supreme. I-GEL’s non inflatable thermoplastic elastomer cuff fitted snugly creating a good anatomical seal.The I-GEL also showed less peri- and post-operative complications i.e., blood on removal, hoarseness of voice, sore throat, and dysphagia – as its noninflatable cuff probably decreased the risk of airway tissue compression and hence tissue ischemia. Both I-GEL and LMA-SUPREME showed no incidence of severe airway trauma, such as laryngeal stridor, laryngospasm, bronchospasm, hypoxia, or aspiration. We thus conclude that I-GEL is a better in view of ease of insertion, placement was rapid and also less traumatic to airways than LMA-SUPREME. So, I-GEL is a cheap and effective SAD alternative to LMA-SUPREME.