Lack of experience in dealing with young patients with tracheostomy tubes often causes uncertainty among family members, caregivers, and therapists. Parents, in particular, want to provide their child with reliable, prompt, and competent assistance. This guide helps parents and caregivers manage the tracheostomy tube. It alleviates feelings of uncertainty through information and helps to prevent potential complications. The authors have summarized their years of experience and succinctly and clearly answer questions such as: What are the differences between tracheotomy, tracheostomy, and tracheostoma? What reasons necessitate a tracheostomy in children? How do physiological functions change, and what effects can this have on breathing, swallowing, and speech and language development?.