：Objective To report theoperative technique and clinical experiences of the modified reversed superficial peronealneurocutaneous island flaps for reconstruction of the ankle and foot.Methods According tothe previous anatomical studies and our clinical experiences,we devised the reversedsuperficial peroneal neuroeutaneous island flap based on the descending branch of thedistal perforator of the peronealrtery and its venae comitantes,and covered the softdefect of the ankle and foot with it.Results Twenty-one of the 23 flaps survivedcompletely without complications,while the other two occurred marginal necrosis.Themaximum surface of the flap in our series was 12 cm×13 cm.and the minimum one was 5 cm×4cm.The length of the pedicle ranged from 5 cm to 10 cm.The texture of the flaps wasgood,while the cosmetic and function of them were evaluated as acceptable in all casedafter 6 to 21 months follow-up.Conclusion The reversod superficial peroneal neurocutaneousisland flaps is a versatile,reliable procedure useful in reconstruction of the ankle andfoot.