Tracheal defects lead to devastating problems, and practical clinical substitutes that have complex functional structures and can avoid adverse influences from exogenous bioscaffolds are lacking. Herein, a modular strategy for scaffoldâfree tracheal engineering is developed. A cartilage sheet (CartâS) prepared by highâdensity culture is laminated and reshaped to construct a cartilage tube as the main loadâbearing structure in which the chondrocytes exhibit a stable phenotype and secreted considerable cartilageâspecific matrix, presenting a nativeâlike grid arrangement. To further build a tracheal epithelial barrier, a temperatureâsensitive technique is used to construct the monolayer epithelium sheet (EpiâS), in which the airway epithelial cells present integrated tight junctions, good transepithelial electrical resistance, and favorable ciliary differentiation capability. EpiâS can be integrally transferred to inner wall of cartilage tube, forming a scaffoldâfree complex tracheal substitute (SCâtrachea). Interestingly, when EpiâS is attached to the cartilage surface, epitheliumâspecific gene expression is significantly enhanced. SCâtrachea establishes abundant blood supply via heterotopic vascularization and then is pedicle transplanted for tracheal reconstruction, achieving 83.3% survival outcomes in rabbit models. Notably, the scaffoldâfree engineered trachea simultaneously satisfies sufficient mechanical properties and barrier function due to its matrixârich cartilage structure and wellâdifferentiated ciliated epithelium, demonstrating great clinical potential for longâsegmental tracheal reconstruction.