Background: LRTI is the most common cause of hospitalization in pediatric patients with LRTI who are at an increased risk of morbidity and mortality. In India, 1.2 million death have been detailed among children due to LRTI among 5.9 million passing universally. India has the most elevated number of death among children <5 a long time of age and most of them are due to LRTI there are many non-pharmacological measures are involving in treating the respiratory illness like massage therapy breathing exercises, oxygen therapy, nebulization, physiotherapy, etc. Aim: the aim of the study is to assess the effectiveness of massage therapy on respiratory status among toddlers with LRTI. Materials and methods: A sample of 60 toddlers was simple random sampling assigned to the intervention and control groups. In the control group (routine care) and massage therapy was performed for three days. In the morning and evening then post-test was conducted end of the third day. Whereas the control group receives routine care. (pre-assessment level of respiratory status Respiratory rate, heart rate, temperature, oxygen saturation, chest retraction, and breath sounds, use of accessory muscles, cough, sputum, nasal flaring, and dyspnea) Result: the findings of the study show that there was a highly significant observed between pre and post mean score of level of respiratory status in (30.76 ± 3.38) and after (40.13 ± 3.01) the massage therapy. The calculated ‘t’ value was 19.76, which was highly significant at P<0.000** level. Conclusion: It can be concluded that back massage was effective among toddlers with lower respiratory tract infection.