Laryngopharyngeal reflux is a common, if not the most common source of laryngeal pathology, and may be a contribution to disorders ranging from slight, but distressing voice change to laryngeal cancer. Causes and treatments of gastric reflux are discussed. The author stresses that antirefluxogenic behavioral and dietary controls should minimize the need for medications, and maximize the intended effect of medications. Readers are strongly advised to seek medical evaluation via endoscopy and evaluations should atypical throat or voice problems persist for longer than several weeks.