Experience using turn over fl ap in patients at the Hospital del Trabajador de Santiago: a valid alternative Background: The plastic surgeon is frequently faced with need of choosing from a variety of local and distant fl aps for the coverage of diffi cult wounds. In 1981, Thatte described a local fl ap consisting in a random pattern deepithelialized fl ap adjacent to the lesion rotated in 180° with a dermoepidermal graft to cover the fl ap and donating zone. Objective: To present the experience of the Plastic Surgery and Burns Unit of the Hospital del Trabajador de Santiago with the use of this fl ap. Material: Retrospective study of 16 Turn Over fl aps in 15 patients. Results: The complications recorded were 1 case of graft loss and 2 partial lost of the fl ap. We didn't observe complications directly related to the fl ap. Conclusions: This type of fl ap is another therapeutic alternative in certain cases. Rate Base: Length = 1:2 is appropriate to ensure irrigation.