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ABSTRACTManagement of pediatric difficult airway has always been a challenge to the anesthesiologist. Effective airway management includes proper assessment of the airway, anticipation of difficulties, good preparation & team work. We present a unique case of 6-week-old infant posted for excision of a large cystic teratoma of face and scalp where the airway was secured effectively by using the retro-molar intubation and modification of conventional technique of ventilation and laryngoscopy.