As the anatomy of the head and neck region plays a leading role in deciding the fateful profile of the airway, especially associated with influential abnormality. So, simple bedside test, such as the modified Mallampati test, has been found to be of limited value and cannot be relied on for using in predicting difficult laryngoscopy. Exclusively when each individual was investigated in isolation using a single scoring test, as it has long been realized that difficult laryngoscopy is a multifactorial problem. Thus, effective prediction requires a combination of multiple tests to provide a high index of sensitivity and specificity for prediction of difficult airway. Thus, we ventured to combine Mallampati score with some other anatomical factors (thyromental distance, anatomical abnormality and cervical mobility) to develop a new and simpler clinical prediction model for a better predictive ability.