Program Description: While tracheotomies are regularly performed by otolaryngologists nationwide and abroad, technique and perioperative management vary widely between surgeons. Recently, the Academy Airway and Swallowing Committee performed a multi-institutional study reviewing the technique, management, and outcomes from a large series of consecutive tracheotomies. We have used our study, as well as national and international databases to construct tracheotomy evidence-based guidelines for the otolaryngologist. We will discuss incorporation of tracheostomy care teams for the merging of quality care, medical economics, and patient safety. Guidelines will be presented in an interactive format (surveying the audience on their current practices) with the goal of optimizing intraoperative patient safety and minimizing early and late postoperative complications.