Soft tissue defects around the foot and ankle are encountered for many reasons. The reverse flow sural artery flap, which is a distal-based fasciocutaneous flap, is frequently used for the coverage of such soft tissue defects. It is a favorable skin and subcutaneous reconstruction option with the advantages of not requiring microsurgical procedures, fast and easy surgical technique, preservation of the main arteries of the foot, wide rotation angle, no serious damage other than scarring in the donor area, and low hospitalization time and cost. Partial or complete flap necrosis due to venous congestion is seen as a disadvantage.