There is provided a novel tracheostomy tube flange. The flange is made of a flexible material and has a large open area for viewing of the underlying skin. The flange has holes for suturing the flange to the skin and slots for attachment of a strap to surround the neck and keep the flange and tube in place. The flange may swivel on the tube to allow for greater flexibility in attaching it to the skin. A stoma pad may be used with the flange to help keep the skin under the flange healthy.