1. Take consent 2. Hx - prev surgery, GA?, cx of prev surg, comorbidities, meds 3. PE: short neck (difficult intubate), obese, CVS-respi status 2. Inform anaest -anest preop assessment 3. Pre-op ix - fbc, coag, cxr, lft, rp, rbs, ecg 4. Prophylactic abx 5. Correction of coag disorder, electrolytes, DXT, BP 6. Current medication - withold aspirin/warfarin