Ryle's tube (RT) insertion is a commonly performed procedure in emergency departments, intensive care units, and operation theaters. The complications associated with RT include ulceration, bleeding, misplacement of the tube in airway, and clogging of the tube. Intragastric knotting is a rare complication of RT insertion. The removal of such knotted RT should be done cautiously so as to avoid trauma, preferably under direct laryngoscopic vision.