Objective To evaluate the clinical effects of the modified opposed reversed fascial flap of medial leg for repairing complex wound.Methods Twelve patients with complex wound were treated with modified opposed reversed fascial flaps of medial leg.There were tibia exposure in 7 cases,discontinuous wounds in 3 cases and pressure insoles in 2 cases.Results Twelve patients were followed up 1-3 years.All 17 flaps survived and incision healed primarily.The appearance and function of the flaps were all satisfactory.Conclusion The treatment of complex wound with the modified opposed reversed fascial flap of medial leg is recommendable.It can be easily and conveniently performed for more cases.