Background: Foreign body aspiration is a critical pediatric emergency that requires prompt diagnosis and intervention. This retrospective study aims to assess the clinical characteristics, management approaches, and outcomes of foreign body aspiration in children over a two-year period. Materials and Methods: We conducted a comprehensive retrospective analysis of 55 pediatric cases of foreign body aspiration treated. Patient demographics, clinical presentation, diagnostic modalities, management strategies, complications, and long-term outcomes were evaluated. Results: Of the 55 cases included in this study, 65% were male, and 35% were female, with an average age of 3.8 years. The most common presenting symptoms were cough (78%), wheezing (56%), and dyspnea (42%). Radiological assessments, including chest X-rays and CT scans, were performed in 85% of cases, confirming foreign body aspiration in 60% of patients. Bronchoscopy was the primary diagnostic and therapeutic modality, successfully removing foreign bodies in 75% of cases. The most commonly aspirated foreign bodies were small objects like peanuts (42%), beads (21%), and buttons (17%), constituting 80% of cases. Complications, such as pneumothorax (12%) and pneumonia (28%), were noted in a subset of patients. The mean hospital stay was 5.2 days. All patients were followed up for an average of 12 months, and 92% showed complete resolution of symptoms, while 8% experienced no significant long-term complications. Conclusion: Foreign body aspiration in children remains a clinical challenge with potentially life-threatening consequences. Early diagnosis through radiological assessment and prompt bronchoscopic intervention are crucial for successful management. This study highlights the significance of careful evaluation and management in achieving favorable outcomes in pediatric patients with foreign body aspiration.