We report a successful replantation of an above-elbow amputated left arm in a 26-year-old female with a good, functional, longterm result. The patient was at 18 weeks estimated gestational age at the time of surgery. Major upper extremity replantation during pregnancy has not been previously described in the literature. Current operative and perioperative aspects, including considerations that favored microsurgical replantation in this unusual case, are discussed.Haws MJ, Erdmann D, Brown RE. Above-elbow arm replantation during pregnancy. Ann Plast Surg 1996;36:93-96