When a patient undergoes a tracheostomy , it is not a permanent thing. Once a patient is healthy enough, the tracheostomy tube can be removed and the existing hole in the throat will spontaneously start to heal closed. In a process called healing by secondary intention, the body creates granulation tissue along with scarring that slowly but surely closes the trach opening shut. In the rare situation it does not completely close, a surgical procedure can be performed. Here are some pictures…