Correct placement of the tracheal tube is vital for safe anesthetic/critical care. The optimal depth of tube placement depends on the distance from the mouth to the glottis and the tracheal length. A patient’s height generally influences the proper depth of intubation.1 In dwarfs, fixation of a tube at standard depth results in endobronchial intubation.2 In patients with short stature, a shorter depth of tracheal intubation is, therefore, expected. However, in patients with severe thoracic scoliosis and resultant short stature, both the tracheal length and oroglottic distance (neck height) are likely to be normal. Therefore, anticipating a shorter orocarinal distance and fixing the tube inappropriately at a lesser depth can lead to accidental extubation. Our experience suggests that short stature due to dwarfism should be differentiated from short stature due to severe scoliosis during tracheal intubation. Fiber-optic or fluoroscopic confirmation of the correct tube position is ideal and should be performed when feasible. However, when such examination is not possible, a meticulous clinical examination and chest radiograph confirmation can overcome the dilemma about the correct placement of tracheal tube.