Introduction: Reconstruction of lower leg and foot soft tissue defects remain a challenging 
task, particularly in patients with circulation problems. Various options including local flaps, 
free flaps, and muscle flaps have been used for reconstruction in these cases (Sargent, 2017)
Aim of the study: The aim of this study is to Evaluate the role of peroneal artery pedicled 
perforator flap for reconstruction of lower leg and foot soft tissue defects. Materials & 
Methods: Study design with a prospective non randomized clinical study, it has been 
conducted in the Plastic surgery unit Minia university hospital in the period from January to 
August 2019.It included20 patients presented with raw areas in the lower leg, ankle and foot. 
Results: The flap survival was excellent in middle age patients with small defect but the flap 
survival was bad in young age patients with large defect. Discussion: The age of the patient 
and the surface area of the defect play an important role in flap survival. Recommendation:
based on the current study we recommend that the peroneal artery pedicled perforator flap has 
good results in small to medium sized defects and not large defects.