Tracheostomy is a surgical procedure that creates an artificial opening in the trachea. It involves making a permanent or semi-permanent opening in the trachea to allow for breathing. Tracheostomy is indicated for upper airway obstruction, pulmonary ventilation, pulmonary toilet, and elective procedures. Complications can include bleeding, injury to surrounding structures, infection, tracheal stenosis, and formation of fistulas. Care of the tracheostomy site requires monitoring for problems such as tube displacement, bleeding, blockage, and swallowing issues.