Background:To share our experience with the redo tracheostomy during a period of 1.5 years and focuses on the number of patients requiring redo tracheostomy, the reason for doing redo tracheostomy and the difficulties faced during the procedure. Methods:The present prospective study was conductedfor a period of 1.5 yearr from May 2021 to October 2022. During a time period of 1.5 years, a total of 52 patients, who have undergone redotracheostomy, were taken for this study. Flexible Nasopharyngo-laryngoscopy and indirect laryngoscopy was done in all patients. Appropriate radiographic evaluation was performed,including chest X-ray and X-ray soft tissue neck. Most of the patients presented with severe respiratory distress so they were immediately shifted to operation theatre for redotracheostomy. Results: Out of 52 eligible patients, 51 patients were diagnosed with cancer of upper airway and 1 patient with bilateral vocal cord paralysis. Out of these 52 patients, 25(48%) patients had received chemoradiation as the primary treatment for cancers of Hypopharynx and larynx. Reasons for redo tracheostomy are: 21 (40.4%) patients had accidental expulsion of tube on follow up, 18 (34.6%) patients had recurrence/residual disease, 7 (13.5%) patients were planned for second surgery due to recurrence of disease, 5 (9.6%) patients had tracheal stenosis and 1 (1.9%) patient had bilateral vocal cord paralysis. No major complication was noted during the stay of patients in the hospital. Surgical emphysema developed in 5 patients which settled of its own. Conclusion: Redo tracheostomy is difficult to perform as there are marked changes in the normal anatomy of neck, particularly in patients who have received chemoradiation. Complications like excessive bleeding should be expected and procedure should be done by or under the supervision of senior surgeon.