Objective To study the clinical effectiveness of using rotation-advancement fasciocutaneous flap in repairing tissue defect.Methods The nature contour line according to the wound diameter was made about 4 times as long as diameter.The cephalic part of the flap was harvested initially at superficial fascia and the incision was elongated to the lateral.Results There were 30 rotation-advancement fasciocutaneous flaps.The colour and texture of the flaps were excellent with satisfactory cosmetic results.All free flaps survived.Conclusion Rotation-advancement fasciocutaneous flap has advantages of simple dissection,satisfactory appearance,normal sensation and good function.It is an effective procedure in the treatment of skin defect.