Airway management in patients with thyroid swelling is usually a challenge to anaesthesiologists during induction of anaesthesia. Thyroid swelling can cause compression of trachea (mass effect) leading to difficulty in bag and mask ventilation and also during endotracheal intubation.[1] Many ways of securing airway have been described. We present one such case of thyroid swelling where bag and mask ventilation was difficult initially but manually uplifting of the mass with both the hands, made feasible bag and mask ventilation and also laryngeal intubation.