Free anterolateral thigh (ALT) flap is a versatile and a workhorse flap in the field of reconstructive microsurgery for lower extremity defects. Conventionally, ALT flap is harvested in subfascial plane from lateral aspect of thigh for reconstruction of lower extremity defects. In our unit, we harvested ALT flap in suprafascial plane for lower extremity reconstruction and analyzed the outcome, advantages and disadvantages