This chapter discusses the functional components of a typical disposable tracheotomy tube. Tracheotomy tube cuffs are designed to protect the lower airways from subglottic fluids and assist in maintaining a seal within the trachea to enhance positive pressure ventilation. Modern tracheotomy tubes are typically designed for single use of finite duration and are constructed from medical grade biocompatible plastic such as thermosensitive polyvinyl chloride and silicone. Tracheotomy tubes are designed either with an inner cannula (dual-cannula tube) or without an inner cannula. The International Standards Organization (ISO) nomenclature determines the method for sizing all modern single and double lumen tracheotomy tubes. Fenestrated tubes may be recommended in patients who have a high probability of requiring reintubation after decannulation. Special purpose tracheotomy tubes and accessories covered here include: low-profile tracheotomy tubes, tracheal buttons, montgomery tracheal T-tube, tracheotomy tubes with subglottic suction ports, speaking tracheotomy tubes, speaking valves, and percutaneous tracheotomy tubes.