Twenty four patients suffering from various ailments necessitating flap cover were treated with composite tissue transplantation by microsurgical techniques from July 1992 to July 1996. There were 21 males and 3 females in the 10 to SO years age group. Four patients were provided flap cuver on the face for congenital lesions and twenty patients required nap cover for sub acute/chronic trauma. The radial artery forearm and latissimus dorsi were the most commonly used naps in this study. Seventeen patients had excellent and four patients had acceptable cosmetic and functional results. Three naps were lost due to vascular problems. MJAFI; 19999; 55: 203-205