Thyroid tumors causing airway compression, stenosis, tracheal deviation among common causes of difficult airway and intubation in anaesthesia management. Difficult airway and intubation among goiter patients is 5.3%³. Cancerous goiter is major predicting factor for difficult endotracheal intubation. Therefore airway management in these patients during preoperative and intraoperative period is challenging. Here we report a case of successful awake fiberoptic bronchoscopy assisted airway assessment and endotracheal intubation in patient undergoing total thyroidectomy of papillary carcinoma thyroid causing severe subcricoid tracheal stenosis. A 60year old female with papillary carcinoma thyroid was posted for total thyroidectomy under general anaesthesia. Neck CT detected thyroid malignancy causing sub cricoid stenosis for length of 9.5 mm with maximum anteroposterior diameter at stenotic level of 3.2mm. The patient received general anaesthesiathrough endotracheal tube during surgery. Tumor resection and a permanent tracheostomy was done at end of surgery. Later patient was successfully weaned form mechanical ventilation and shifted to postoperative care unit. This case report provides evidence of importance and usefulness of fiberoptic bronchoscopy assisted airway assessment and endotracheal intubation in managing anticipated difficult airway in thyroid tumors causing tracheal stenosis, tracheal deviation, intraluminal infiltrating thyroid tumor.