<p>Tracheostomy is an airway procedure by which an opening is created in the trachea. The plan to decannulate the patient from tracheostomy, is made by the treating doctor, once the patient is considered fit for decannulation. There is no universal guideline or protocol available for tracheostomy decannulation, though many institutional protocols are in place. Our survey was planned to study the different decannulation techniques followed by ENT surgeons in India and the outcomes noted for the same. A pilot study was conducted among 30 ENT consultants. The survey was conducted among practicing ENT surgeons from different parts of India, using an online questionnaire. The aim of our study was to bring about a standard practice in the tracheostomy decannulation process. Our primary objective was to compare the success rates between decannulation techniques with and without metal tubes. Data was collected from 358 ENT consultants who performed more than 10 tracheostomies per year on average. The completed questionnaires were statistically analyzed using SPSS software and results studied. We found no significant difference (p value 0.691) in the average frequency of failed decannulation between those who changed to metallic tracheostomy tubes (59.7%) and those who used other weaning methods (61.8%). The duration between decision to actual decannulation was not significantly affected by the technique used (p value 0.342). There was no significant difference in failure rates between corking and direct decannulation. The duration of corking also did not influence the failures. The use of metal tracheostomy tube as a part of staged decannulation needs to be reviewed. Deriving a national protocol regarding tracheostomy decannulation is recommended.</p><p><i>CTRI Registration No</i> CTRI/2024/03/063425.</p>