An image-guided pharyngolaryngeal forceps assembly includes a pair of pharyngolaryngeal forceps and an image-guided device. The image-guided device is fixed on a body of the pair of pharyngolaryngeal forceps, is slender and flexible, and has a tube body, a camera module and a signal transmitter. The tube body is mounted along the body of the pharyngolaryngeal forceps. The camera module is connected to an end of the tube body near a jaw assembly of the pair of pharyngolaryngeal forceps, and has a lens and multiple LEDs. The signal transmitter, such as a connector or a wireless signal transmitter, is connected to an end of the tube body near a handle of the pair of pharyngolaryngeal forceps, and can transmit signals to an external device. The image-guided pharyngolaryngeal forceps assembly can capture and transmit real time images to an external device and can provide illumination during a pharyngolaryngeal surgery.