Of the available free-flap donor sites for intraoral reconstruction, the dorsum of the foot has several distinct advantages. Its thinness and pliability make it especially suitable to replace oral lining. The free dorsalis pedis flap is of suitable size, and it has a long vascular pedicle. It is also possible to transfer it as an osteocutaneous flap by including the second metatarsus (see Chapter 207). Finally, the distance between the foot and the mouth makes a two-team approach very practical, without increased operating time.