Background: The benefits of tracheostomy are not without associated complications and risks. The increasing use of tracheostomy has resulted in parallel increase in complications. Meanwhile little emphasis is given in medical and nursing instruction on post operative management to reduce the complications. Material and methods: This study was carried out at dr ulhas patil medical college and hospital jalgaon. The total number of patients included in the study were 130 of all ages including both males and females. The tracheostomy was done for various indications. The aim of the study was to evaluate the incidence of complications of tracheostomy and to suggest the preventive measures for the same. Results: The incidence of complications was 25.38% with mortality 1.8%. The commonest complication was surgical emphysema and the commonest indication for tracheostomy was artificial ventilation accounted for 69.8% of cases. Conclusion: Even though, Tracheostomy is a life saving procedure, is not without complications but fortunately all the complications are preventable.