A tracheostomy is a surgical procedure that creates a direct airway by making an opening (stoma) in the front of the neck into the trachea (windpipe). It is indicated for prolonged ventilatory support, upper‐airway obstruction (e.g., tumors, severe infections, trauma), or when secretions cannot be managed safely. Dr. Hitesh R. Singhavi performs both open surgical and percutaneous dilatational tracheostomies, tailoring the approach to patient anatomy and clinical urgency. By bypassing obstructions above the vocal cords, tracheostomy provides a reliable channel for breathing, suctioning of secretions, and gradual weaning from mechanical ventilation.