This course will explore the role of the sub-acute SLP in evaluation and treatment of total laryngectomees. It will begin with an overview of anatomical changes that occur with a total laryngectomy surgery and how this differs from a tracheostomy. It will delve into physiological changes seen with total laryngectomy surgery related to breathing, swallowing, and communication, and describe the role of the SLP in evaluation and treatment of post-laryngectomy swallowing and alaryngeal communication.