Tracheostomy is a life-saving procedure, performed in both emergency and elective settings. Development of bilateral pneumothoraces in adults following tracheostomy is a rare complication. We report the case of a 30year-old male who developed bilateral pneumothoraces immediately following emergency mid-level tracheostomy. The patient was treated with bilateral intercostal tube drainage. The case is being reported to emphasise the fact that the clinician should be aware of this rare but potentially dangerous complication, so that early intervention can prevent a catastrophe.