Airway management is a core competency in anesthesiology that has significantly evolved in recent years, primarily due to technological innovations. The 2023 update of the S1 guideline on airway management, published by the German Society for Anesthesiology and Intensive Care Medicine (DGAI), offers evidence-based insights into these advancements and provides clear recommendations for clinical practice. More than a theoretical update, the guideline serves as a practical resource for bedside care, addressing a broad spectrum of innovations and clarifications while leaving few questions unanswered. This review article summarizes the key updates and their practical implementation.