The GlideScope videolaryngoscope is a relatively new intubating device. It was designed to provide a view of the glottis in many circumstances including difficult intubations. We report a limitation of the GlideScope(R) video laryngoscope that was detected during tracheal intubation of a patient with hemifacial microsomia. An unexpectedly difficult intubation occurred due to the limited intraoral space, and we were unable to place the blade of the GlideScope(R) video laryngoscope in the correct position. Finally, intubation was successfully carried out with a fiberscope. In conclusion, for patients who have a malformation of the face such as hemifacial microsomia, a flexible video laryngoscope like a fiberscope might be superior to the GlideScope(R) video laryngoscope.