Clinical research is needed to understand how cigarette toxicant yield affects smoker toxicant exposure. While there is much clinical research on yield and exposure in developed countries, there is little in developing countries. Forty smokers completed one, 4-hour session to compare yield and exposure of different cigarettes. Participants smoked three cigarettes under controlled topography conditions: one U.S. 111 flavor, one U.S. ultra light, and one Syrian cigarette, with 90 minutes between cigarettes. Sessions differed by Syrian brand; 21 participants smoked Alhamraa while 19 smoked A1 Sham cigarettes. Blood nicotine and breath CO samples were obtained, HR was monitored and subjective withdrawal and cigarette effect questions were asked. Results suggest that Syrian Alhamraa and U.S. full flavor were similar in exposure while Syrian A1 Sham and U.S. ultra light were similar. Though U.S. full flavor and ultra light cigarettes differed in toxicant yield and exposure, subjective ratings of withdrawal were similar.