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The country star, who is hosting the 2024 People's Choice Country Awards, says she "put fear aside" when she struggled with vocal cord issues jason Kempin/NBC/NBCU Photo Bank via Getty ’s open-throat surgery gave her a new outlook on performing. The singer-songwriter, 59, told PEOPLE in an interview on the red carpet at the on Thursday, Sept. 26 in Nashville, that her past vocal-cord surgery helped her overcome her stage fright.

"It was really about my throat surgery,” Twain says when asked about her recent experiences with performance anxiety. "I lost my voice, my singing voice, for several years. Regaining that [and] having to go through open-throated surgery to get it back reset my reality.



" Terry Wyatt/Getty She continues, "When you realize that you have another chance at something that you love, you take it and you put fear aside to do it — and that’s what I did." Twain says "the voice" and "the desire to never give up" got her through the challenging operation. The country star, who is hosting the 2024 People's Choice Country Awards, also opened up to PEOPLE about what keeps her motivated after more than 30 years in the industry.

"The creative element of the industry," she says. "I love new songwriting. I love design and production.

There's so much more that goes into being an artist than just standing on the stage and singing — even though, of course, that's a very bug part. But I think there's a lot the fans may not be aware of that goes on, and it's fun to .

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