How To Measure

1. Use a cloth ruler, shoestring, yarn, or any flexible material.

2. Put the string up to one side of the flange/hole bring around the neck to the other flange/hole.

3. Take the string and mark it or tape on the string where the flange/hole is.

4. Take the string lay it down and measure with ruler or measure tape. This will give you your measurements.

1. Cut the velcro to fit the trach.
2. Insert velcro into trach.
3. After you insert, attach both pieces of velcro to secure.
4. Cut excess velcro off. 
5. Enjoy your new trach tie.