Not being able to speak is a great loss for anyone who has had a laryngectomy. However, there are several voice restoration program methods to help people with a laryngectomy to produce sound and learn to speak again. The focus of voice restoration following total laryngectomy is restoration of voice and speech production, the goal of which should be to restore communication as closely as possible to that of the patient's pre-operative status. The current state of the art speech rehabilitaion methods are such that no patient undergoing uncomplicated, total laryngectomy should be without some method of functional speech production. The different approaches are not applicable to all laryngectomized individuals. Thus, selection of the mode of alaryngeal communication should be based upon the individual's specific needs, personality, physical capabilities, level of independent functioning, family support, and motivation.