Two annoying problems are encountered in surgical correction of greater defects by flap plasty: the widely undermined cavity seen when using transposition flaps to cover large wound cavities and the necessity to cut away healthy skin because of dog ears or a Burow's triangle. The V flap is a method of shifting and transposing of the skin surrounding the defect to avoid these troublesome disadvantages. With the exception of cases where a myocutaneous island flap is indicated, this simple V-flap technique yields excellent surgical results.