Tracheoesophageal prosthesis is an exceptional treatment modality for restoration of speech in patients with total laryngectomy. This prosthesis helps to direct the tracheal air exhaled into pharynx through fistulous area created due to Tracheoesophageal Puncture (TEP). The accomplishment of voice rehabilitation treatment depends on placement of a suitable prosthesis with accurate measurements. This article documents the method for fabrication of a custom made tracheoesophageal prosthesis with medical grade silicone using conventional Prosthodontic technique.