In a candid May 22, 2025 interview with Zane Lowe on Apple Music, Miley Cyrus opened up about living with Reinke’s edema — a vocal cord condition that has not only shaped her iconic raspy tone but also posed significant challenges. Often caused by smoking or vocal overuse, the condition has contributed to the raw, gravelly sound fans associate with her, while also resulting in a sizable vocal cord polyp.

Surprisingly, Cyrus doesn’t see the condition as something to fix. Instead, she calls it a “blessing” and has chosen not to undergo surgery, fearing it could alter the very voice that defines her artistry. Though she occasionally thinks about returning to touring, she’s focused on sustainability — physically and creatively — opting for genuine, live performances over pre-recorded sets or lip-syncing.

For Cyrus, the voice that emerged from adversity is one she embraces fully — flaws, power, and all.