Management of difficult airways is widely recognized as one of the important tasks of an anesthesiologist. One of the commonly encountered difficult airway is of post-burns contractures leading to restriction of mouth opening and neck movements. Proper planning and skillful execution to secure airway is of utmost importance as failure may lead to cannot ventilate and cannot intubate situation. We present a case of successful fiberoptic oral intubation in 88yr old blind, hypertensive female patient with post acid burn contractures with difficult airway and narrow nasal passages using spray as you go technique and balanced conscious sedation.