A series of 11 inferior gluteal free flaps is presented in eight patients w
ith a mean age of 3 years and 3 months. The flap has been used four times f
or breast reconstruction, five times for the sequelae of axillary and popli
teal burns, and twice for posttraumatic problems. Three necrosis were obser
ved due to poor limb vascularity (electric burns, atheroma, sequelae of tra
uma). It is possible to form a pedicle of 7-8 cm. There is minimal donor si
te scarring which is the flap's strong point. Undoubtedly this flap deserve
s a place with other classical breast reconstruction techniques. It can als
o be used as a back-up technique for release of contractures over joints.