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Combined flaps have been developed for the reconstruction of large bone and soft tissue defect after severe trauma or wide resection of malignant tumor. We divided the flaps in three types using Shibata's classification. Type 1) Flaps carrying two or more tissues (skin, muscle, bone and so on.) on a single vascular pedicle. Type 2) Sequential connection of two or more independent free flaps. Proximal flap serves as a flow-through flap so that it can provide a good recipient vessel for more distally located flaps. Type 3) Conbination of adjacent flaps with supercharged flow. One flap used as a pediculed flap and the arterial pedicle of the other adjacent flap is connected with the recipient site artery (supercharged). It is possible to reconstruct many tissues and organs simultaneously and the use of combined flap has made these reconstruction safer. Better functional and cosmetic outcome would be brought about with these procedures.