Perineal hernia formation is an infrequent but well-recognized complic
ation of major pelvic surgery Various methods of perineal reconstructi
on have been reported, This report describes one technique of perineal
hernia repair using a unilateral gracilis myocutaneous flap, The grac
ilis myocutaneous flap provides well-vascularized tissue that is usefu
l in many situations requiring reconstruction of the pelvis and perine
um, especially when the area has been irradiated.