Downside: Communication challenges 

Most types of trachs and ventilators can make it harder to speak or prevent you from speaking at all. Your ALS care team can discuss your options and help you understand what to expect. 

Many people living with ALS who use a trach communicate using augmentative and alternative communication (AAC), like writing on a notepad or using eye gaze devices. To learn more about AAC and how ALS can affect your ability to communicate, check out our ALS and Communication Guide.