Objectives: To compare direct conventional laryngoscopy (DCL) and video laryngoscopy (VL) in patients with difficult airway and to assess whether video laryngoscopy is superior to direct conventional laryngoscopy in difficult situations. Methodology: It was a randomised controlled study. Preoperative assessment of difficult airway was done. Among the patients coming for elective surgery, the patients with difficult airway were chosen. Hundred such patients were selected as per the inclusion criteria. They were divided into two groups with fifty patients in each group. Group A was direct conventional laryngoscopy, the control group. Group B was video laryngoscopy, the study group. During intubation, several parameters were noted. Cormack Lehane view, number of intubation attempts, time for intubation, oral trauma etc were noted. Result: Cormack Lehane view was better in VL. Number of attempts was lesser in VL than in DCL. Time for intubation was lesser in DCL. Conclusion: For successful intubation, the number of attempts was lesser in VL. Hence VL could be a better tool in difficult airway management.