An Anesthetist faces a lot of challenges in the Head and Neck Surgery. The challenges acquaint with airway obstruction or make intubation difficult or impossible. It is very crucial to maintain a safe airway when access to the patient's head may be restricted and it should be adaptable about airway management during surgery, especially in nose and throat procedures. Surgeons may obstruct or uproot airway equipment. The potential for infection of the airway needs to be observed. Whenever an airway problem is recognized intraoperatively, the priority is to solve that issue for the smoother operative procedure.