Objective To explore the true experience in esophageal speech training among patients undergoing total laryngectomy, so as to provide reference for conducting targeted intervention for patients receiving esophageal speech training. Methods Phenomenological method was used to study 15 patients receiving esophageal speech training after total laryngectomy utilizing the method of field observation and depth interview, and data were analyzed using Colaizzi′s 7 steps analysis method. Results Five themes were extracted: mental state, behavior coping styles, changes in social relationships, esophageal speech training induced discomfort and effect evaluation of esophageal speech training. Conclusion Esophageal speech training makes the psychological state and social relationship changed positively for patients undergoing total laryngectomy, so more and more patients accepted the training, while its effect has limitations.