A surgical procedure often performed at the time of laryngectomy or as a secondary procedure. It involves creating a small hole between the trachea (windpipe) and the esophagus (food pipe). A voice prosthesis is inserted into this puncture, allowing air from the lungs to pass into the esophagus and produce sound, enabling speech. This method is a common and effective way for laryngectomees to regain the ability to speak.