The heel is a difficult area to reconstruct due to its complex anatomy and important functional role in weight-bearing and movement. This chapter provides a wide overview of the principles, techniques, and factors to consider when reconstructing heel defects. It discusses the causes of reconstruction in detail and provides detailed anatomical information. At the end of this chapter, the reader will have a better understanding of heel reconstruction. The goal is to give plastic surgeons a valuable resource for addressing the challenges of heel reconstruction.