A dog with a tracheotomy in can never go swimming or have a bath, if they do they drown very quickly. They can never wear a collar again and mine has a disc on her harness stating that she has one in and must never be bathed.
I have done a web site for Ellie and her tracheotomy, how it happened and how we both coped. This is still quite rare but is getting done more and more often. It terrified me but it really isn’t difficult to deal with.