Automatic tracheostoma speech valve (ATSV) fixation brace, comprising a fixation part (2) for keeping an ATSV base element (8) in position during use, and a holding part (3) for holding the ATSV fixation brace (1) to a patient, wherein at least the holding part (3) comprises a thermoplastic material, the thermoplastic material being moldable to the local anatomic shape of the patient.