Vocal hygiene, loosely defined, means the constellation of both good and bad habits that affect the voice, positively and negatively. At our practice, the wrap-up discussion at the conclusion of the initial diagnostic process as well as the initial therapy session with a speech pathologist contain a concise summary of vocal hygiene, with special emphases relevant to the individual. Examples of vocal hygiene tips include instructions on hydration, smoking cessation, spaced – rather than massed – voice use, and so forth.