This chapter discusses tracheostomy instruments, where Chevalier Jackson metallic tracheostomy tube has an outer tube, an inner tube, and an obturator. Inner tube of Jackson tracheostomy tube is longer than outer tube which can be removed, cleaned and reinserted. Outer tube has a lock for the inner tube. Obturator, also called pilot or introducer, is used for nontraumatic insertion of tube as it converts the hollow of outer tube into a solid conical mass. The outer tube of Fuller’s Bivalve tracheostomy tube has two prongs for insertion into tracheostome, while, inner tube has a hole on the superior surface for speaking purpose after closing the opening of tracheostomy tube with finger. Portex tracheostomy tube has advantages over other tubes in that it is less irritant, nontraumatic and the cuff when inflated prevents aspiration. Tracheostomy wound dilator is used when the tracheostomy tube is to be inserted, and it opens up the tracheostomy wound for reinsertion of the tube.