Helen is absolutely correct about having something to write with. Have someone there with writing materials when you come to, because you will have questions. After a few days, you will be able to talk by putting your finger over the trach. Mine did not hurt at all, the removal was painless, it healed very quickly with just a bandaid, and today one must look very closely to even tell I had one. You do not need to add this to your list of worries, Jennifer.