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It’s been a well-known fact that anaesthetist and surgeon work as a team for the betterment for the patient. There are various situations where anaesthetists have provided the lifesaving suggestions to the surgeon in a crux situation. Airway manipulative procedures are a difficult situation for the anaesthetists and surgeon both as the working field is same; so the time is the limiting factor in these cases because more is the time taken more are the chances for hypoxic episodes. Distally located lower respiratory tract foreign body removal especially in pediatric cases are tricky situations and are the most challenging and time consuming. In these cases there are various incidences where the results are not positive because of some or other reason and the patient ends up in thoracotomy procedure. In this article we intend to discuss an interesting case where an anesthetist’s knowledge of different procedures & instruments in the operation theatre results in a success of nearly failed procedure.