The infant or child with a difficult airway is easily recognized, either by symptomatology or anatomic features. However, in a small but significant number of cases, a difficult airway is unrecognized during the preanesthetic assessment, and becomes recognized only upon the induction of anesthesia.

We report a case of difficult airway with congenital tracheal stenosis in neonate. We performed tracheal intubation with small sized tube by using technique to bring head forward slightly while trying to advance tube.