Striae in a laser in-situ keratomileusis (LASIK) flap are not uncommon, but can be difficult to manage and frustrating for the patient due to poor vision. The incidence of a distorted flap can be reduced through care, repositioning the flap with good stretching to reduce contraction of the gutters and lubrication postoperatively to minimize movement of the flap with removal of the lid speculum, blinking, or drop instillation. If flap striae occur, lifting the flap, removing any epithelium that grew in the expanded gutter, and stretching the flap back into its physiologic position can resolve a distorted flap. Increasing the surgeon’s knowledge of prevention, identification, and management can improve patient satisfaction with LASIK.