The laryngoscope stands out as a crucial tool for airway management during intubation procedures. Among the various components of a laryngoscope, the handle plays a pivotal role in ensuring effective illumination and maneuverability. This article delves into the characteristics and features of two prominent types of laryngoscope handles: the Miller and Macintosh Fibre Optic handles. The Miller laryngoscope handle is characterized by its straight design. Blade selection is crucial, and the choice between straight (Miller) and curved (Macintosh) blades depends on the practitioner's preference and the patient's anatomy. the choice between a Miller and Macintosh Fibre Optic laryngoscope handle depends on various factors, including patient anatomy, practitioner preference, and the specific clinical scenario. Both handles, with their fibre optic illumination capabilities, contribute to the advancement of airway management, ensuring safer and more efficient intubation procedures in diverse medical settings.