Fingertip amputations are among the most common traumatic hand injuries presenting to the emergency department. Following developments in the field of microsurgery, replantation can be performed even in extreme distal end amputations. However, in patients who are not candidates for replantation, reconstruction with a local or regional flap is the most common treatment method. Since the reconstruction should be both aesthetic and functional, the surgeon should choose the best treatment method according to the principle of `similar with similar` replacement. The antegrade homodigital neurovascular island flap and the V-Y advancement flap are frequently used in fingertip amputations in accordance with this principle. The antegrade homodigital neurovascular island flap can be used in pulp loss associated with open fractures and in all types of distal end of the finger amputations (palmar oblique, transverse, dorsal oblique, etc.) where tendon and bone are exposed. The V-Y advancement flap is an ideal treatment for transverse or dorsal oblique amputations. Z plasty is a flap widely used in hand surgery practice for release and prevention of scar contractures. It is especially used for the release of scar contractures and web space contractures in the volar region of the finger. This review article aims to describe the indications, surgical techniques and complications of antegrade homodigital neurovascular island flap, V-Y advancement flap and Z plasty techniques.