Phalloplasty is indicated in various conditions of penile loss or absence. There are numerous techniques for
phalloplasty including the pedicle and
free flaps with the ultimate goal of micturition in standing position, attaining adequate size, aesthesis and sensations for sexual intercourse. Radial forearm
phalloplasty is the gold standard flap to achieve above results but gives a very bad
scar on the forearm. We present a technique of using prefabricated thigh flap to reduce the morbidity of donor area. The descending branch of lateral circumflex femoral pedicle was placed in a subcutaneous plane over
tissue expander. After attaining an adequate size of flap with
tissue expansion, it was delayed 3 weeks before
phalloplasty. Prefabricated flap was thin and of large size replicating the radial forearm flap used for
phalloplasty. Whole forearm defect was covered with the thigh flap, and the thigh could be closed primarily. This new technique of using prefabricated thigh flap has significantly reduced the donor site morbidity both aesthetically and functionally without the use of
skin grafting in the whole procedure.