The standard and optimized plastic surgery methods on the T-shaped endoprosthesis of the cervical(upper) thoracic trachea are presented. The results were analyzed and compared according to which the proposed method prevents such complications as the formation of a scar tubercle in the stent bed due to the thick scar tissue of the membranous surface of the trachea, the formation of a scar tubercle behind the jugular notch and the formation of a rigid fibrous ring behind the jugular notch of the thoracic partof the trachea. the comparative analysis also showed a shortening of the cannula-bearing period and a reduction in the number of restenoses.Keywords: Cicatricial tracheal stenosis, staged reconstructive plastic surgery, T-shaped stent, tracheal restenosis, post-intubation, post-tracheostomy