Because of its structure and function, the heel a weight bearing area always poses a rebuilding difficulty. The free radial artery forearm flap, the free latissimus dorsi muscle flap, and heel defect cases resulting from trauma, tumors, pressure ulcers, non healing ulcers with infections, and cross leg flaps were all examples of reconstructive procedures that were performed. Aim: Find ing the most robust flap that gives the injured region instant feeling and movement was our goal. Methodology and Materials: A retrospective observational research encompassing 30 patients of hind foot abnormalities with flap alternatives as previously men tioned was carried out. Early mobility, the recovery of feeling to the affected area, flap survival, durability, recurrence, and patient satisfaction were all taken into consideration while evaluating the results. Results: The study discovered that trauma , with a plurality of men, was the most common cause of trophic ulcers in our area, followed by tumors and trophic ulcers. Similar feelings are felt in the opposite foot's instep area and the repaired area with the medial plantar flap. Conclusion: In summa ry, for small to medium sized lesions, we advise medial plantar flaps because they offer the patient a resilient covering with a low recurrence risk and a protective pressure feeling and touch.