The use of perforator flaps has heralded a new era in reconstructive surgery.   Perforator flaps are less bulky than traditional flaps and do not use muscle tissue.  These characteristics allow reconstructions using these flaps to achieve the best functional and aesthetic results in both the reconstruction site and the donor site. This issue of Clinics in Plastic Surgery provides guidance to help plastic surgeons incorporate perforator flap techniques in their practices. Editor Peter Neligan, one of the world's leading experts in perforator flaps, has assembled highly experienced authors to share their expertise with Clinics readers.