We describe our experience with a new orotracheal tube with low-pressure cuff for anesthesia during endoscopic laryngeal surgery. Twelve consecutive patients (ASA groups II and III) undergoing microlaryngoscopy for diagnostic or operative reasons were intubated orotracheally with the tube. No complications associated with intubation or anesthesia occurred. In comparison with normal armored tubes (i.e. Woodbridge tubes), the microlaryngeal tube gives the surgeon better operating conditions and still permits conventional intermittent positive pressure ventilation without excessive increases in ventilation pressure. The advantages from the low-pressure cuff could only be seen in 7 patients. With this foregoing restriction, we recommend the use of the new microlaryngeal tube for anesthesia during microlaryngoscopy.