Background: The head elevated position, also known as the "ramped" position, involves elevating the patient's head during intubation. The present study was conducted to evaluate head elevated position for prediction of intubation difficulty using video laryngoscope. Materials & Methods: 72 ASA grade I and II patients of both genders were enrolled. The Glottic visualization was measured by using the modified Cormack Lehane classification and the Percentage of glottic opening (POGO) score. Intubation difficulty was assessed by the Intubation Difficulty Scale (IDS). Results: Out of 72 patients, males were 30 and females were 42. The mean mouth opening in males and females was 5.1 cm and 4.5 cm, neck length was 11.6 cm and 10.2 cm, neck circumference was 33.2 cm and 33.0 cm, TM distance was 8.1 cm and 8.3 cm and SM distance was 13.4 cm and 13.1 cm in males and females respectively. The difference was non-significant (P>0 .05). CL grade I was seen in 56, II in 10, III in 3 and IV in 3. MPC I was seen in 42 and II in 30. The difference was significant (P< .05). IDS was 0 in 32 and 1-5 in 40 patients. The difference was significant (P< 0.05). POGO 100% was seen in 63, 50% in 5 and 0% in 4 patients. The difference was significant (P< 0.05). Conclusion: Increasing head elevation, external auditory meatus and sternal notch in the horizontal plane and laryngoscopy angle significantly improves POGO scores during laryngoscopy.