The authors discuss the indications, advantages, and disadvantages of free-
tissue transfer for breast reconstruction. The most common free flaps used
today are individually discussed. Details about indications, contraindicati
ons, pertinent anatomy, pedicle characteristics, flap pliability, perfusion
characteristics, advantages, and disadvantages for each of these flaps are
presented. Details pertaining to the more common recipient vessels are pre
sented. Future considerations are also briefly discussed.