Aim and Objectives Comparative evaluation of the incidence of laryngeal morbidity after fibre optic tracheal intubation performed under general anaesthesia with or without muscle relaxant in patients undergoing elective neurosurgical procedures. Materials and Methods After approval from institutional ethical committee, a prospective, randomised study was conducted. 100 patients scheduled for elective neurosurgical procedures, with ASA physical status I and II and aged between 15 and 60 years were included in the study. The patients with history of difficult intubation, preexisting laryngeal pathology, congenital or acquired abnormalities of upper airway, tumours, polyps, trauma, abscess, inflammation and foreign body in upper airway, cardiovascular, respiratory, hepatic, renal, or neuromuscular diseases