Ｏｂｊｅｃｔｉｖｅ　To conduct a preliminary survey on awake intubation for management of anticipated difficult airway in Guangdong province， in order to improve the airway management in Guangdong province.　Methods　By mailing questionnaires， anaesthesiologists in 66 hospitals were enrolled. The questionnaire contained eleven items： the option of anaesthesia for difficult airway， communication with patients before awake intubation， nasal preparation， vasoconstrictor being used on nose mucosa， anticholinergic drugs being used， topical anaesthetic being used， devices for the topical anaesthesia， and sedative being used for awake intubation，etc. Chi-square analysis was applied for categorical variable （the Grade Three Class-A hospitals or Grade Two class-A hospitals）.　Results　30% anaesthesiasiologists in Grade Three Class-A hospitals and 18% in Grade Two Class-A hospitals chose awake intubaiton（P<0.01）. Only 53% anaesthesiasiologists could adequately communicate with patients before awake intubation. 13% anaesthesiasiologists in Grade Three Class?蛳A hospitals and 23% in Grade Two Class-A hospitals did not applied any nasal preparation（P<0.01）. Anticholinergic drugs were always administrated by 36% anaesthesiasiologists in Grade Three Class-A hospitals and 22% in Grade Two Class-A hospitals， respectively（P<0.01）. 2% lidocaine was selected for topical anesthesia by 46% in Grade Three Class?蛳A hospitals and 34% in Grade Two Class?蛳A hospitals（P<0.01）. Combined propofol and fentanyl injection was the first choice of 20% in Grade Three Class-A hospitals and 28% in Grade Two Class-A hospitals for the induction of intubation （P<0.05）.　Conclusions　Awake intubation was not routinely used for anticipated difficult airway. Preparation for awake intubation was not adequate. Therefore， awake intubation for the management of anticipated difficult airway needs to be improved.