Surgical airways are an unusual solution to the can't intubate can't ventilate situation. However it is important to practice the skills needed for this desperate situation. Below is a copy of a short theory presentation on the topic and instructions for building a simple skills trainer. This trainer was assessed in an article by Varaday, Yentis and Clarke titled “A homemade model for training in cricothyroidotomy” in Anaesthesia 2004, 59: 1012-1015. Instead of marketing it we believe it is easy enough to build as a DYI project using local materials. The critical issue is using a type of 22mm tubing that is easy enough to cut into and smooth bore enough to permit threading the trachy tube down. Always try it yourself before inflicting it on a class [We learned this the hard way].