Background: Effective airway management is critical in pediatric anesthesia due to unique anatomical and physiological characteristics. Supraglottic airway devices, such as the i-gel and ProSeal Laryngeal Mask Airway (PLMA), offer minimally invasive alternatives to endotracheal intubation, reducing airway trauma and hemodynamic responses. This study aimed to compare the clinical performance of i-gel and PLMA in pediatric patients under general anesthesia with controlled ventilation. Methods: A prospective, randomized study was conducted with 100 pediatric patients (ASA I-II, aged 1–12 years) scheduled for elective short-duration surgeries under general anesthesia. Patients were randomized into two groups: i-gel (Group I, n=50) and PLMA (Group P, n=50). Key outcomes included hemodynamic parameters (heart rate, blood pressure), ease of insertion, oropharyngeal seal pressure, ventilation parameters (peak airway pressure, end-tidal CO₂), and postoperative complications (sore throat, laryngospasm, and blood-stained devices). Data were analyzed using standard statistical methods, and a p-value < 0.05 was considered significant. Results: Hemodynamic responses were comparable between the groups, with no clinically significant changes. The mean insertion time was 23.97 ± 4.46 seconds for i-gel and 24.52 ± 8.10 seconds for PLMA, with both devices achieving a first-attempt success rate of 92%. The oropharyngeal seal pressure was slightly higher for i-gel (20.34 ± 4.71 cmH₂O) compared to PLMA (19.04 ± 4.61 cmH₂O), but this difference was not statistically significant. Both devices maintained effective ventilation, with peak airway pressures of 14.8 ± 2.3 cmH₂O for i-gel and 15.2 ± 2.1 cmH₂O for PLMA. The incidence of postoperative sore throat was lower with i-gel (12%) compared to PLMA (16%), with no cases of laryngospasm or blood-stained devices in either group. Conclusion: Both i-gel and PLMA are effective and safe for pediatric airway management under controlled ventilation