Objective To provide a comprehensive review for development and existing problems of the perforator flaps.Methods The related home and abroad literature concerning perforator flaps was extensively reviewed.Results The perforator flaps are defined as the axial flaps nourished solely by small cutaneous perforating vessels(perforating arteries and veins),which are exclusively composed of skin and subcutaneous fat.The perforator flaps have the advantages as follows:less injury at donor site,less damage to the c...