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Abstract: A series of 11 inferior gluteal free flaps is presented in eight patients with a mean age of 3 years and 3 months. The flap has been used four times for breast reconstruction, five times for the sequelae of axillary and popliteal burns, and twice for posttraumatic problems. Three necrosis were observed due to poor limb vascularity (electric burns, atheroma, sequelae of trauma). It is possible to form a pedicle of 7–8 cm. There is minimal donor site scarring which is the flap’s strong point. Undoubtedly this flap deserves a place with other classical breast reconstruction techniques. It can also be used as a back-up technique for release of contractures over joints.