A Patient Scheduled for a Total Laryngectomy and Radical Neck

A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, "How will I talk after the surgery?" The best response by the nurse is,

A) "You will breathe through a permanent opening in your neck, but you will not be able to communicate orally."
B) "You won't be able to speak as you used to, but there are artificial voice devices that will give you the ability to speak normally."
C) "You will have a permanent opening into your neck, and you will need to have rehabilitation for some type of voice restoration."
D) "You won't be able to talk right after surgery, but you will be able to speak again after the tracheostomy tube is removed."