This discussion includes a look at some of the benefits and adoption of video laryngoscopy in medical practice, improving first pass success rate in endoscopy using virtual reality and video laryngoscope techniques for difficult airways. This piece was recorded and sent to you directly from The 18th WFSA World Congress of Anaesthesiologists in Singapore. It's the first of our pieces from this year's conference, expect more to follow. Desiree Chappell interviews Patrick Schoettker, Professor and Head of the department of Anesthesiology at the CHUV University Hospital (Lausanne, Switzerland), Ellen O’Sullivan, Consultant Anaesthesiologist at St James’s Hospital Dublin, Ireland affiliated to Trinity College Dublin, Director of the Fellowship in Advanced Airway Management and Simulation and Ross Hofmeyr, Associate Professor of Anaesthesiology at University of Cape Town.