A trach is a safety precaution and should provide all the air you need to breathe. I had cancer over nine years ago and had an operation that left me with a trach. I was able to get it out about 3 months later. After 6 years the cancer returned and another trach. This time not so lucky. I also am unable to get it out. The good news is that I can talk, eat, and breathe. It is far better than the alternative.