Anaesthesia for surgery related to otolaryngology is a specialized subject as it needs appreciation of the anatomy and physiology of the structures present in the operative area and unique requisites for the specific operative procedures. Special considerations for anaesthesia in ear surgery include facial nerve preservation, use of adrenaline and the effect of nitrous oxide in middle air pressure. Nasal and sinus surgery needs considerations regarding sound airway management, intra-operative blood loss and adequate postoperative care (quick recovery, humidified oxygen therapy, etc.). The chapter reviews the anaesthetic management for middle ear surgery, surgery of the nose, tonsillectomy, postoperative bleeding tonsil, laser surgery and so on. The other topics included in this chapter are anaesthesia for some common neck surgery such as laryngectomy, tracheostomy, pharyngolaryngectomy, etc. A thorough airway assessment is most essential to detect potential airway obstruction or difficult intubation.