Implementations of a tracheostomy plate decorative cover are provided. In some implementations, the tracheostomy plate decorative cover comprises a front surface, a back surface, a left side, a right side, a top side, a bottom side, a tracheostomy tube opening, a first neck strap opening, and a second neck strap opening.In some implementations, a method for using the tracheostomy plate decorative cover comprises positioning and/or attaching the tracheostomy plate decorative cover to a tracheostomy plate. In some implementations, the method may also comprise attaching the tracheostomy plate to a tracheostomy tube. In some implementations, the method may also comprise attaching a neck strap to the tracheostomy plate.