Background: A pediatric tracheostomy decision can be challenging for clinicians and parents, especially when outcomes are uncertain and prognosis is guarded. Though shared decision-making is recommended for such preference-sensitive decisions, a better understanding of parents’ needs and values is crucial to minimize decisional regret. Objective: To characterize parents’ experiences and considerations during tracheostomy decision making for their critically ill child. Methods: Twelve semi-structured interviews of parents who recently faced a tracheostomy decision for their critically ill …