he transitioned to a smaller trach in hopes of going home without it but he had to go back to surgery for a neck wash due to an infection. While in there it was discovered that his "native tissue" is dying (back of the tongue). The way it was explained to me was it will be like an open sore and they hope it heals over time. So he got a larger trach and will go home with it. Has anyone had any experience with this? The flap itself is doing well. I feel much more comfortable with the trach now...I guess the difference a few days can make. My husband is supposed to be discharged Monday...hope it happens..