We describe the case of a 30 weeks pregnant patient requiring general anaesthesia for urgent microlaryngoscopy and excision of an increasingly symptomatic left-sided vocal cord cyst. In view of the pregnant state of the patient combined with laryngeal pathology, an awake fibreoptic intubation was undertaken and an uneventful procedure ensued. The potential risks and merits of awake fibreoptic intubation in the obstetric population are discussed.

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