Secondary TEP insertion in a patient who has had laryngectomy with adjuvant radiotherapy is challenging as the neck mobility and neck extension is restricted. Following laryngectomy, as our patient was unable to develop esophageal speech a secondary TEP was planned for him. A simple and cost-effective method of secondary tracheo-esophageal puncture (TEP) for voice rehabilitation following laryngectomy can be performed using routine equipment and instruments available in almost all operating rooms. A detailed description of the procedure performed is documented here.