A grandmother from Bedford, who lost her tongue to cancer has had a new one made from part of her arm.
Joanna Smith first noticed something was wrong in her mouth in October 2018 but was initially told by doctors it was just an ulcer.
After it continued to get bigger and more painful, Joanna went to hospital and had the news that changed her life.
- Watch a report by ITV News Anglia's Sascha Williams
In January Joanna had surgery at the Luton and Dunstable hospital to remove most of her tongue.
Doctors then made a new one using skin from her leg.
But after it turned black and failed her surgeons tried again, this time using muscles from her arm.
Joanne says her speech began to return after the swelling went down.
She said: "I have just got use to it now. I am happy that I am here, the cancer has gone and it is not in me anymore. I just wanted to get it out."