We assessed the suitability and relevance of the medial sural artery perforator flap in covering shallow defects of the dorsum of the foot. The study was conducted on 30 patients with post-traumatic soft tissue defects of the dorsum of the foot between August 2018 and August 2020. All defects were covered with medial sural artery perforator flap. Complete flap survival was achieved in 27 cases with one flap totally lost and two flaps had distal necrosis. 26 patients were satisfied with the result need no debulking. The flap had a good aesthetic appearance in most cases. MSAP flap is a good option in covering dorsal foot defect. It has many advantages: it is thin, pliable, fitted to normal footwear, less hairy and there is no need for secondary procedures in most cases.