•Microvascular free tissue transfer has become the standard in complex head and neck reconstruction due to its versatility  in reconstructing complex defects with tissue that better matches the recipient site. However there are still instances where free flaps can fail or are not feasible due to patient factors.  Moreover, frequently operative time may be a restricting factor or relevant expertise might be not available in the treatment institute. In such cases regional flaps can be used for salvage or for reconstruction as a treatment of choice.

•Pectoralis major flap is considered the workhorse of reconstruction in the area of head and neck yet it might take a considerable amount of time for harvesting. Ιts bulkiness may be undesirable and it is not free of complications while can be a factor of significant morbidity and impaired function in the donors area.

•Still there are regional flaps that are quite versatile, easier and faster to harvest, thus comprising alternative options for reconstruction while preserving pec major for future use.

•In this presentation such flaps like cervicofacial flap, supraclavicular artery island flap, submental flaps are described and their potential use is discussed.