When encountered with an anticipated difficult airway, we should be vigilant in our anaesthetic techniques and be prepared with an appropriate plan for airway securing. In OSMF cases fiberoptic being the gold standard, tracheostomy is the next choice in awake state. These procedures cause discomfort to the patient and scarring. This case report discusses the anaesthetic management of 32 yr old with OSMF for release and SSG where instead, local release of fibrotic bands under sedation and local anaesthesia facilitated direct laryngoscopy and thus airway securement. Thus this method avoids the discomfort associated with the above mentioned techniques and also can be done in circumstances of the non availability of fiberoptic.