Proximal tibia is the second most common site for cancellous bone harvest after iliac crest. It is an excellent bone graft donor site especially when the same limb is undergoing the primary operation. The amount of graft and the quality probably are comparable to that taken from iliac crest and complications are by far less common and less serious. It seems that proximal tibia is a suitable donor site for bone graft harvest and orthopedic surgeons must keep this site in mind when this surgery is necessary.