Background: The prevalence of obesity is increasing worldwide, and anesthesiologists are facing challenges in the airway management of such patients. Excessive adipose tissue infl uences pharyngeal spaces and aff ects the laryngoscopic grade. Standard RAMP positioning is time-consuming and diffi cult to prepare, and requires expensive equipment. Objectives: The aim of this study was to compare the standard RAMP position with the proposed low-cost and easily accessible modifi ed RAMP position in laryngoscopic view during the intubation of patients with morbid obesity. Methods: In this single-blind clinical trial, 84 patients candidate for bariatric surgery at Rasoul Akram Hospital in 2020 were assigned to the rapid airway management positioner (RAMP) (R) and new modifi ed RAMP (MR) groups by the block randomization method. The laryngoscopic view of the glottis based on the Cormack-Lehane scale, ventilation quality, duration of intubation, intubation attempts, oxygen saturation at the end of intubation, and the need for backward, upward, rightward pressure (BURP) maneuver for successful intubation were recorded. Normal distribution tests and Mann-Whitney and Kruskal-Wallis tests were used to analyze the data. Results: The results showed no signifi cant diff erences between the two groups regarding ventilation score, laryngoscopy grade, number of intubation attempts, duration of intubation, and the need for BURP maneuvers during intubation (P > 0. 05). Conclusions: The two methods are not signifi cantly diff erent, and the new modifi ed RAMP position can be used with more ease and availability and less cost.