Performing speech after a total laryngectomy (TL) is different. A power source, a sound source, and a sound modulator are the three fundamental components of every functioning speech production system. Air in the lungs provides the power for laryngeal speakers, while the larynx produces the sound, and the vocal tract (i.e., the pharynx and mouth cavity) modifies the sound. Total laryngectomy (TL) involves severing the vocal tract and lungs from one another to eliminate the sound source. After a total laryngectomy (TL), finding a new source of sound that can be powered is crucial for restoring one’s voice. In addition to dealing with medical issues, patients with head and neck cancer have a host of practical and psychological challenges. Functional restoration is a significant secondary goal of therapy that impacts treatment for many patients with head and neck cancer, but cure remains the primary objective.