Aluminum phosphate is a commonly used pesticide in developing countries like India. It is available as fumigant in solid or powder form. It is most common & deadly cause of suicidalpoison in rural areas. Its lethal dose is 150-500mg for an adult. 3gm single tablet can cause mortality.In spite of a poor predicted outcome the patient survived due to prompt aggressive resuscitative measures. In our case series mortality rate was 40% and 60% survived from aluminum phosphide poisoning.