The document compares the LMA Proseal and LMA Supreme for airway management in patients anesthetized in the prone position. 120 patients were randomized to receive either device. Both devices had high first attempt success rates for insertion of over 98%. However, the Proseal required fewer manipulations to achieve effective ventilation and provided a higher seal pressure compared to the Supreme. Overall, both devices successfully managed the airway with low complication rates, but the Proseal performed slightly better.