Background: Tracheostomy closure often requires surgical techniques to address functional and aesthetic concerns. Various plastic surgery methods, including Z-plasty, rotational flaps, advancement flaps, and free tissue transfer, are described in the literature for closure of these wounds. However, in rural settings, limited resources, staffing, and access to specialized surgical tools are difficult making a simpler and more resource-efficient strategy desirable. We describe in detail a unique simplified approach to achieve similar results with a less invasive technique. Method: Simple skin circular incision of tracheostomy site to allow for a tension- free double layer primary closure. [Clinical photographs of defect and reconstruction steps to be included] Results: The technique was successful in two patients both in function and aesthetic outcome. Conclusions: To our knowledge these are the first reported cases where tracheostomy sites have been closed with this approach. The use of this approach minimises surgical time, resource utilization, and morbidity. This case series emphasizes the importance of tailoring surgical strategies to individual patient needs, avoiding unnecessary complex procedures, and ensuring cost-effective care.