Gloucestershire sees increase in voicebox removal
12 October 2012 Last updated at 11:44 BST
A record number of people are having their voiceboxes medically removed in Gloucestershire.
Normally the therapists at Gloucestershire Hospitals NHS Foundation Trust see around 10 to 12 laryngectomies a year - this year alone there have been 25.
A laryngectomy is the removal of the larynx and separation of the airway from the mouth, nose and esophagus.
BBC reporter Zoe Gough talks to Charlie Hall, ear, nose and throat surgeon, and patients who have had the operation.