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Methods. Fourteen modified parasacral perforator-based flap procedures were performed on 14 patients. The files of clients at Chungnam nationwide University Hospital from February 2017 to January 2020 were retrospectively assessed. Results. All 14 flaps survived entirely. One patient developed localized hematoma, and another given latent seroma. No donor or recipient web site dehiscence or recurrence took place during followup. Conclusion. We present our experience of a