The most important objective of burn reconstruction is the release of contractures. Local skin flaps are particularly useful for this purpose. These flaps can be classified into three types based on how they are moved, namely advancement, rotation, and transposition flaps. For example, Z-plasty and W-plasty are categorized as transposition and advancement flaps, respectively. Transposition flaps, particularly Z-plasty, are frequently used to release contractures in burn reconstruction. Numerous variations in local skin flaps, especially in Z-plasties, have been reported. This chapter will describe these variations and provide tips to help the surgeon select the optimal transposition flap techniques on a case-by-case basis.