Jamie,
During my surgery I had a trach put in place but I also had my tongue removed, both sides of neck dissected, peg tube placed, and stomach muscle removed to rebuild floor of mouth so I sort of had "one stop" surgery. The trach didn't hurt or anything - it was more of a nuisance/inconvenience and I was more than happy to bid it farewell after sporting it for 8 1/2 months. Good luck to your mom and know that we're here for you.
Hugs, Nancy