Pressure ulcer is a topic of growing importance in the fields of plastic surgery, surgical education, and physical therapy - and also has important psychosocial, medicolegal, and cost management implications. The plastic surgeon is the final medical professional called upon to deal with the devastating wounds caused by pressure ulcers, and when the surgeon lacks the necessary specialized training and experience, the results may be disastrous for patients. This guide, based on work at the renowned Rancho Los Amigos National Rehabilitation Center, describes and depicts operative techniques in detail. Comprehensive information is provided on the surgical anatomy and the variety of wounds that may be encountered. In addition, interventions in patients with complicated ulcers are discussed. Reconstructive Plastic Surgery of Pressure Ulcer will be an ideal aid to appropriate selection of flap surgery in the individual patient.