Reinke’s edema is a condition where fluid builds up in the superficial layer of the vocal fold, making it swollen and floppy. It develops slowly, often over years, and is most commonly seen in smokers and individuals with chronic acid reflux or vocal overuse. The vocal folds become thickened and lose their normal vibration, causing a deep, rough, or husky voice. In more advanced cases, the swelling can interfere with breathing. Patients typically notice that their voice sounds deeper or more strained, especially in the morning. Women may report sounding “masculine” or losing the ability to project their voice. Treatment involves quitting smoking, controlling reflux, and resting the voice. In-office steroid injections may help reduce inflammation. For more advanced cases, we may perform microlaryngoscopy to remove the excess fluid and restore the vocal folds’ shape. Voice rest is required post-surgery, and recovery usually takes 1–2 weeks.