Background: Difficult airway leading to failed intubation are the foremost causes of anesthesia related morbidity and mortality. Newer developments in airway management has resulted in the pioneering of various optical and vedio laryngoscopes. In anticipated difficult airway patients, awake intubation using flexible fiber optic bronchoscope is the method of choice. Truview PCDTM laryngoscope is designed to help positioning of the endotracheal tube and also to record entry of the tube into glottis. Aims: To study and compare the effectiveness of fiber optic bronchoscope and Trueview PCDTM video laryngoscope in patients undergoing awake oral tracheal intubation in difficult airway situations. Study design: This was a prospective randomized study. Methodology: Sixty patients with ASA physical status classification I and II undergoing elective surgery under general anesthesia were randomized into two Groups; Group I (Trueview PCDTM video laryngoscope) and Group II (fiber optic bronchoscope). Intubation time, intubation attempts, Cormack and Lehane Grade (CLG), hemodynamic response, complications, were recorded. Results: Group II (88.10 ± 4.20 seconds) has significantly longer intubation time compared to Group I (58.00 ± 11.49 seconds). Intubation on first attempt observed in 76.7% patients in Group I compared to Group II (70%). CLG Grade I observed in 73.3% patients in Group I compared to Group II (80%). Better glottis visualization seen in Group II than Group I which is not significant. Hemodynamic parameters did not show significant difference among the two Groups. Conclusion: Trueview PCDTM video laryngoscope could be a suitable auxiliary to flexible fiber optic bronchoscope in difficult airway situations.