We described an early experience of Airtraq laryngoscope in 20 patients receiving general anesthesia.In all, 2 staff anesthesiologists, 3 anesthesia residents and 10 non-anesthesia residents performed endotracheal intubation with 14 polyvinyl chloride tubes with inside diameter of 7-8 mm, 5 double lumen 37-F tubes and 1 preformed nasotracheal tube.Every endotracheal intubation was achieved at the first trial, and the mean time to secure the airway was 46 +/- 18 seconds.Airtraq laryngoscope is a useful novel device for tracheal intubation.