IntroductionThe human voice is a remarkable instrument because the voice is a unique identification work for each individual. A speaker can evoke a wide range of emotions and mental images through slight changes in vocal timbre, intensity, or subtle nuances of inflection. A person's voice is also a sensitive barometer of their physical and emotional health. Any damage and injury to the larynx will also hamper the voice. As an example, laryngeal cancer may require life-saving surgery and, in some cases, require the complete removal of the larynx, known as a total laryngectomy. Before proceeding with surgery, pre-laringectomy counseling by a voice pathologist plays an important role. This will provides an option for rehabilitation after surgery and helps the client and their family prepare mentally, physically and emotionally for surgery and after surgery. Total laryngectomy causes physical and functional changes that can affect emotional well-being and some of the most basic functions of life, including breathing, swallowing, and communication. Patients who undergo total laryngectomy experience reduced quality of life compared to patients after partial laryngectomy or healthy individuals. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay Therefore, voice rehabilitation is one of the most difficult challenges that these patients have to overcome. The voice pathologist should explain to the client and family the most appropriate method of voice rehabilitation, which can help the client maintain realistic expectations of the device. If the client fails to meet realistic expectations or has excessive expectations, it may demotivate them to use the rehabilitation method and negatively impact their quality of life. Need of the study: According to our experience, most clients are dismotivated to use the voice rehabilitation method after total laryngectomy due to many problems. As many studies have reported that artificial larynx is one of the best and easiest rehabilitation options after total laryngectomy, but after that many clients refuse to use it. There is therefore a lack of studies to explore the different factors of refusal of the artificial larynx as a voice. possibility of rehabilitation. The AIMPresent study aims to explore the level of acceptance of artificial larynx among two cases of total laryngectomy. Methods: In this article, we present the two laryngectomy cases who underwent total laryngectomy but refused to use artificial larynx as a voice rehabilitation option. To assess their self-perception and quality of life, we conducted a detailed case history of a Client Study and Medical Outcomes Questionnaire (McHorney et al., 1994). The client also received the questionnaire which includes 10 questions related to preoperative and postoperative counseling. This questionnaire was developed by the authors and validated by 2 speech therapists working in the same field for 10 years. The clinician also interviewed the client's family member to assess the emotional and psychological impact of the client's problem on the family. The same was also discussed with their surgeon to assess the surgeons' perception. Case Studies: Case A: A 63-year-old male geriatric client complained to the client that he was unable to speak due to a total laryngectomy. The customer.