The corona virus disease 2019 (COVID19) caused by the severe acute respiratory syndrome coronavirus 2 (SARSCoV2) belongs to the category B infectious disease, but is regulated according to the requirements of the category A infectious disease. Originated in Wuhan, COVID19 has been pandemic around China. SARSCoV2 can be transmitted through droplets and close contact. In the closed environment, it can also be transmitted through aerosol. Most people are susceptible. The sources of the infection are the COVID19 patients as well as SARSCoV2 infected asymptomatic ones. The incubation period may range from one to 14 days, and some patients may be asymptomatic. So, tracheotomy, which is usually carried out under local anesthesia，may produce a lot of droplets and aerosol and hence bring about a great risk of nosocomial infection during this pandemic. Based on the guidelines for the treatment of COVID19 issued by the National Health Commission and our firsthand experiences with tracheotomy performed in the patients of quarantined wards, this paper discusses the basic rules of performing the tracheotomy during the pandemic,summarizes the indications of different kinds of patients, and offers suggestions on the protective measures and operational details of the tracheotomy.