BACKGROUND Soft tissue defects of distal third leg has always been a reconstructive challenge. Though free flaps are the first choice, cross-leg flap is still the saviour in difficult non-reconstructable situations. This study was conducted to analyse the outcome of using external fixator for immobilising cross-leg flaps. MATERIALS AND METHODS This was a retrospective descriptive study done on 42 patients over a period of 3 years starting from

Elephantiasis is a disease of the tropical areas of the world caused by obstruction of the lymphatic channels by the filarial worms. The most common worm causing elephantiasis is the Wuchereria Bancrofti. The disease is not uncommon in tropical countries especially India. Involvement of peno scrotal region with elephantiasis is a rarity. We describe here a surgically treated case of penoscrotal elephantiasis.The results are gratifying in both aesthetic and functional aspects, both for the patient and the surgeon. Similarly skin flaps can be easily raised from the skin of the surrounding groin to effectively cover the testis.