We present a case of intraoperative intraoral tube kink in a 47-year-old female of 52kg with no comorbidities, diagnosed with carcinoma ovary, and posted for staging laparotomy. Pre-induction monitors and an arterial line were secured for continuous blood pressure monitoring. The patient was induced with IV (intravenous) midazolam 1mg, glycopyrrolate 0.2 mg, fentanyl 150 μg, and propofol 70 mg. Neuromuscular blockade was performed using atracurium 25mg IV. Patient was intubated with cuffed ETT of internal diameter 7mm and fixed at 19cm and was ventilated in volume-controlled mode, with a tidal volume of 450ml and respiratory rate of 12/min. Anesthesia was maintained on 50% oxygen in air and 1.5% isoflurane. Injection atracurium 5mg was repeated half hourly. After 2 h of surgery, peak airway pressures rose suddenly to 51cm H2O, end-tidal carbon dioxide to 55mm Hg, heart rate to 140bpm, and blood pressure to 200/110mmHg. Plateau pressure could not be calculated in our anesthesia machine. Oxygen saturation was maintained at 97% with 0.5 fractional inspired oxygen concentration (FiO2). On auscultation, mild wheeze was heard bilaterally. Propofol 20mg was given, relaxant repeated, and salbutamol puffs administered via ETT. Injection hydrocortisone100mg and magnesium 2gm IV infusion was started. But problems persisted. The patient was bag ventilated in manual mode with FiO2 100% and 6 L/min flow. No kink in ETT was noted at the angle of the mouth. Arterial blood gas sample sent showed PaO2 170mmHg, PaCO2 60mmHg, and pH 7.2. Exhaled tidal volume was reduced to 200ml. A 12-French suction catheter was passed to rule out ETT block by mucus, but could not be passed beyond 20cm. Direct laryngoscopy showed ETT bent intraorally between vocal cord and angle of mouth (Fig. 1). To change ETT, anesthesia was deepened with propofol 50mg and atracurium 10mg. Fifteen minutes elapsed between rising airway pressure to changing ETT. Following this, airway pressure dropped and vitals stabilized. The surgery continued for one more hour. Patient was extubated on table and postoperative period was uneventful.