Goldenhar's syndrome is a congenital developmental defect of structures of the first and second branchial arches. We aim to present our anaesthetic management of an 18 month-old male patient with Goldenhar's syndrome scheduled for herniography. Facial asymmetry, right ear atresia, preauricular appendix, micrognathy and aural defect were identified in the physical examination. Difficult intubation was presumed in patient due to facial asymmetry. Airways, endotracheal tubes, blades and LMA in different sizes were prepared and permission was obtained from the family to create a tracheostomy if necessary. Sevoflurane in %50 O₂- %50 N₂O was used for anaesthetic induction and mask ventilation was uneventful. Laryngoscopy was tried using no. 1 sized Miller blade, and but as the blade was considered large, laryngoscopy was repeated with no. 0 sized blade. The patient was intubated with (ID) 3,5mm uncuffed tube. Maintenance of anaesthesia was managed by administered of sevoflurane in %50 O₂- %50 N₂O. No complications were observed during the operation and after the recovery period which lasted fifty minutes. We believe that, in these patients, a full preoperative evaluation should be administered in terms of intubation or additional pathologies and get prepared for a possible difficult intubation.