Purpose: The purpose of this study was to explore the effect of aromatherapy on speech anxiety and self-esteem of elementary students. Methods: Sixty-eight elementary students were studied for one week during which they underwent lavender fragrance treatment using vaporizer. All subjects were in 4th grade of elementary school in Seoul. Before and after treatment, the severity of speech anxiety and self-esteem was evaluated by questionnaire. Results: After treatment, the score of speech anxiety had decreased significantly from 20.1 to 18.5 (p=0.000) and the score of self-esteem had increased significantly from 28.9 to 30.3(p=0.020). Conclusion: According to the study results, it can be concluded that aromatherapy showed effect on speech anxiety and self-esteem of elementary students.