Aim: To evaluate the pathological and clinical results of the 126 patients who had endoscopic direct laryngoscopy for laryngeal pathology. Material nd Method: In this study, endoscopic direct laryngoscopy were applied to 126 laryngeal pathology patients between March 2007 and June 2010. The pathological results were reviewed retrospectively. Results: The age of the patients range from 21 to 63 (mean: 40,2 years), including 39 women (%30,9), and 87 men (%69,1). The pathological results of the 126 patients were; laryngeal polyp in 87 patients, laryngeal nodule in 27 patients, squamouse cell carcinoma in 12 patients, entubation granuloma in 2 patients and laryngeal tuberculosis 1 patient. Discussion: Direct laryngoscopy using the operating microscope (microlaryngoscopy) that is a surgical method? provides a clear observation of the laryngeal pathologies and allows fine surgery to the larynx.