The soleus perforator flap basically is a “true perforator flap” with a short pedicle, consisting of septo- or septomyocutaneous perforators on which anastomoses are performed; thus, none of the main vessels of the lower leg has to be sacrificed. The perforators mostly arise from the peroneal vessels and are exposed at the proximal half of the lateral lower leg to allow for primary closure. Because of the similar anatomy of the skin paddle, the raising of this flap will easily be learned by surgeons being familiar with the osteocutaneous fibular flap.