Background : Local flaps based on perforator vessels are raising interest inreconstructive surgery of the limbs. These flaps allow efficient coverage of largewounds without the need to sacrifice a major vascular axis. The operativetechnique does not require microvascular anastomosis and allows reconstruction ofsoft tissue defects using nearby similar tissues. The aim of this study was toevaluate the clinical results of pedicled perforator flaps in the treatment of variousleg defects.Materials and Methods : In the current study 16 cases of various leg defects were covered by pedicled perforator based flaps. Defects were due to Trauma in 11cases, gunshot injuries in 3 cases, electric burn in 1 case and 1 case of a chronicnon healing ulcer.Results : 11 cases healed completely. One case showed total flap necrosis, 2cases showed partial loss of the edge of the flap, and 2 cases showed partial loss ofthe dermis. In most cases, the aesthetic result was optimal and patients were fully satisfied.Conclusion : The use of perforator based flaps to cover defects in the legshowed satisfactory results as regards flap viability and providing a suitable coverof various defects. The use of hand held Doppler proved satisfactory in preoperative delineation of the perforators. The use of propeller flaps proved to beeffective as regards viability of the flap and decreasing the donor site defect.