Flaps for the repair of skin and tissue defects of foot heel were mainly divided into two kinds:known vascular flap and unknown vascular flap. The former mainly includes lateral crural flap, medial crural flap, dorsalis pedis flap and so on;The latter mainly includes medial plantar flap, lateral flap, supramalleolar retrograde island flap, neurocutaneous vascular flap (sural neurovascular flap and saphenous vascular flap) and so on. In this paper, the anatomical basis, advantages and disadvantages of flaps for the repair of skin and tissue defects of foot heel were reviewed.