In no way, should the reader believe the use of tracheostomy tubes is common in exotic companion mammals like the guinea pig. This technique is exceedingly rare. However given the frequent lack of airway control and the particular concerns when anesthetizing guinea pigs, those concerned with emergency and critical care should be aware of this technique as a “back up” option. In most instances, use of this surgical approach would mean that the clinician has failed to exercise foresight and planning for their patient’s airway control. Nevertheless anyone who sees rodents, particularly on an emergency basis, should consider compiling a tracheostomy kit and practicing this technique on cadavers.