Percutaneous tracheostomy is an effective method of airway management in the critically ill patient, avoiding an open exposure of the trachea. This method is time and cost-efficient and is used in many intensive care units. However, we would like to draw attention to one serious potential complication of this technique. This case report describes a case of complete tracheal stenosis above the level of tracheostoma as a direct result of the procedure. The aetiology of the stenosis as well as the surgical and postoperative managements is discussed.