The study will commence after receiving approval from institutional research committee, institutional ethics committee and CTRI. Based on the inclusion criteria, patients will be recruited for the study. Written informed consent of patients will be taken after giving a detailed information about our study in terms of nature of study, the benefits and risks involved. Fiber optic intubation, despite being the current gold standard for anticipated difficult airway, does not provide a 100% success rate. . One of the main problems with fiber optic intubation, the narrow pharynx, can be solved through simultaneous direct or video laryngoscopy with elevation of the oropharynx. This is also helpful in case of tongue swelling or presentation with a large epiglottis. Therefore, VAFI helps the two instruments complement each other’s shortcomings. Hence VAFI has even been suggested to be includedin the difficult airway algorithm –non-emergent pathway. this study aimed to Video-laryngoscope-assisted fiber-optic bronchoscopic oro-tracheal intubation superior to hyperangulated video –laryngoscopic intubation in terms of first attempt success rate. Pre- anaesthetic evaluation along with anticipated difficult airway will be done prior to day of surgery.After shifting patient onto operation theatre table, in supine position, patient will be pre-oxygenated for 3 minutes followed by induction with Fentanyl 2mcg/kg and Propofol 2-3mg/kg titrated to loss of consciousness. Once mask ventilation is found to be successful, muscle relaxant Rocuronium 0.6mg/kg IBW will be given. The operator will then be informed of the group allotment of the patient. Patient will be intubated with an endo-tracheal tube of appropriate size under video laryngoscopy (C-MAC with D-Blade (Karl Storz, Tuttlingen, Germany)) with the help of preformed stylet (C-MAC GUIDE, D-BLADE (Karl Storz, Tuttlingen, Germany)) or FOB (EB-580S (FUJIFILM Co., Tokyo, Japan)(outer diameter : 5.3mm) based on group allotment. Two operators will be involved in case of VAFOBI group. Time period from insertion of blade into oral cavity to appearance of ETCO2 will be noted, which indicates successful intubation. The attempt will be considered a failure if VLS is removed from the oral cavity or if Spo2 drops below 90% before achieving intubation. Patient will then be handed over to the surgeon for the surgery. The operator will then be enquired about the ease of intubation on a Likert scale. After surgery, all patients will be shifted to PACU (post anaesthetic care unit). Patients will be discharged from PACU after complete recovery. all patients receive standard care during the study period.