Tracheal intubation is now regarded as an integral part of modern anesthetic management, respiratory care of the critically ill and resuscitation. However, anesthesiologists occasionally encounter difficulty in intubating the trachea due to various anatomical abnormalities. Various techniques have been described to accomplish tracheal intubation including fiberoptic bronchoscopy and cricothyroidotomy.1,2One of the alternate techniques described is to thread the endotracheal tube over a malleable introducer which has been introduced into the trachea.3We present our experience of intubating the trachea in difficult cases utilizing a recently introduced intubation guide.