Since the first description by Koshima in 1989, perforator flaps have become one of the most commonly used tools for soft tissue defects and organ reconstruction.The three period history of perforator flaps was briefly reviewed.In the first period(from 1989-2000), pioneers persisted in studying perforator flaps and did outstanding work to define and develop the new technique.In the second period(from 2000-2010), the idea of perforator flaps is widely accepted.Moreover, in the third period(from 2010-present), the application of perforator flaps was extended to new medical fields, and reconstruction surgeons began reporting their clinical experiences.As an important historical event, the "Gent" consensus on perforator flaps terminology was introduced in detail.The existing definition, classification, terminology, and nomenclature of perforator flaps were reviewed.Some of the most frequently used perforator flaps are briefly described.Surgeons that popularized the use of perforator flaps were reviewed as well as the inspiration drawn from the 30 year fascinating historical evolution of perforator flaps.

Perforator flap; Definition; Classification; Nomenclature; History