The most revolutionary innovation in reconstructive surgery of the past decade is the development of the musculocutaneous flaps. These flops permit the reconstruction of large head and neck defects in one stage. They carry on excellent reliable blood supply and the inclusion of the underlying muscle adds sorely needed bulk to the resected area. The trapezius musculocutaneous flap is one of the most versatile. Its color and texture match for facial reconstruction is excellent. Moreover, the pliability of the cutaneous component lends itself well to lining the oral cavity ond the oropharynx. The trapezius musculocutaneous flap is an outstanding advance in head and neck reconstructive surgery. The discovery that it can be successfully pediclcd superiorly greatly enhances its versatility.