I read with great interest the letter by Nishant and colleagues [1] in response to the meta-analysis by Akihisa and colleagues [2] regarding the effects of sniffing position for tracheal intubation. Nishant and colleagues suggested that changes in glottic exposure due to positioning are likely to be subtle and that the vast majority of the Cormack Lehane grades are the same in either position. Therefore, using this scale, one position may not prove to be better than the other despite it giving consistently better exposures when compared with the other.