Background: The risk of pulmonary aspiration can be reduced by pre–operative fasting. The leading societies of anaesthesia have adopted more liberal fasting guidelines to avoid the adverse effect of prolonged fasting. This study was aimed to assess knowledge, attitude and practices of pre–operative fasting among anaesthesiologists of hospitals in Ghaziabad: A cross–sectional study. Materials and Methods: A cross–sectional study was conducted on anaesthesiologists of private hospitals in Ghaziabad. Questionnaire consisted of 11 questions was sent through email to anaesthesiologists. 238 questionnaires were finally included in the study. The standard of assessment was practice guidelines regarding pre–operative fasting given by American Society of Anaesthesiologists (ASA). Data analysis was done by using SPSS version 20. Results: 47.9% participants were having less than 5 years of experience, 36.1% were having 5–10 years of experience and 16% participants were having more than 10 years of experience. 24.4 % responded that anaesthesiologists and surgeon informed patients about fasting a day before surgery in their hospitals. Conclusions: ASA guidelines regarding pre–operative fasting was followed by majority of anaesthesiologists. Organization of educational programmes and regular audits are required.