○ A medicine to put you to sleep (general anesthesia). • You may have a flexible tube (catheter) inserted into your bladder to drain urine. • You may have a tube passed through your nose or mouth that goes into your stomach (nasogastric tube). The nasogastric tube eliminates digestive fluids and prevents vomiting or nausea. • A U-shaped incision will be made under one side of your jaw, just below your ear, and will continue under your larynx and to the other side of your jaw. • The larynx is separated from the trachea (trachea) and removed. • Your surgeon will create the stoma by making an incision in the trachea, at the bottom of the first incision. • The new tracheal opening will be sewn so that it opens into the stoma. • The incisions will be closed with stitches (sutures). The procedure may vary between healthcare providers and hospitals. AFTER THE PROCEDURE • You will feel some pain. Painkillers will be available to help you. • Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medications you have been given are used..