A tracheostomy tube assembly comprising a tracheostomy tube and an elongated neck plate secured to said tube having an upper edge, a lower edge and holes at opposite ends thereof, is characterized by a soft, flexible gel-like polymer pad having a center port surrounding the tracheostomy tube and releasably secured on the patient side of the neck plate and extending to or beyond the upper and lower neck plate edges and inside the holes. The pad has a smooth, substantially flat, planar first surface for resting against the patient side of the neck plate and a smooth, soft, transversely concave second surface for resting against a patients neck, whereby the pad has a thicker cross-section at its opposite side edges and ends, and a thinner cross-section along a center portion extending between the upper and lower pad edges and ends.
