Percutaneous dilatational tracheostomy (PDT) is frequently performed surgical procedure on critically ill patients. This study was designed to compare its two methods: Griggs Guide Wire Dilating Forceps (GWDF) technique and the ULTRA-perc Single Stage Dilator technique. Methods and materials- 30 ICU patients on prolonged mechanical ventilation and requiring tracheostomy were included in our prospective randomized study. First group (GP-GWDF) underwent PDT by GWDF technique and second group by ULTRA-perc technique (GP-UP). Time for the procedure, early and late procedural complications were recorded and compared in between the two groups.