This article presents a detailed demonstration of an in-office transcervical vocal fold injection for unilateral vocal fold paralysis. The procedure is performed via the cricothyroid membrane using CymetraTM under local anesthesia. It highlights patient preparation, anesthesia techniques, and syringe setup, followed by real-time laryngoscopic guidance during injection. The approach offers immediate voice improvement without general anesthesia, making it a cost-effective and convenient alternative to operative intervention for selected patients. Post-procedure care includes observation and a temporary restriction on oral intake.