Anesthesia for shared airway surgeries provides an extensive range of challenges for the anesthesiologist and the surgeon, as the complicated nature of these procedures demands nothing less than complete cooperation between these two specialties. Surgical procedures vary from routine endoscopic examination to complex microsurgery and laser surgery of the larynx, maxillofacial and dental surgery, craniofacial abnormalities and some E.N.T. procedures. The patient population varies from neonates to the elderly. The anesthesiologist will provide mask anesthetics, spontaneous or jet ventilation, controlled hypotension, and extubations during light levels of anesthesia to avoid postoperative pulmonary complications. The anesthetic considerations include: dealing with the difficult airway; the risk of obstruction, transaction, disconnection or removal of the airway intra-operatively; the risk of soiling of the airway due to bleeding and surgical debris and the potential for airway compromise post-operatively.