We present a successful airway management strategy for a case of penetrating injury to the back, with the assault weapon projecting and retained in situ. The "Two-Table Technique" was devised to secure prompt and safe intubation without displacing the weapon or causing further neurological or visceral damage. This approach involved teamwork and careful planning for ensuring a prompt and successful intubation. These cases necessitate urgent surgical exploration and management with minimal room for a full radiological workup; so, a timely airway intervention along with ensuring haemodynamic stability is emphasized. Furthermore, alternative approaches are discussed, underscoring the rationale behind our chosen method.