"Endoscopic plastic surgery techniques have involved aesthetic procedures such as face lfit, breast augmentation, abdominoplsty, and placement of tissue expander. Recently endoscopic havest of the donor tissue for free flap ransfer has been applied in the omentru, jejunum, latissimus dorsi muscle and rectus abdominis muscle.
 10 patients who had asoft tissue defect in the foot ortin the lowerleg were treated with-free muscle transfe after endoscopic dissection ofth latissimus dorsi muscle form December 1994 to October 1995. 9 patients wer male and 1 patient was femals. A 5-6cm axillary incision is made, allowin direct identification of the thoracodorsal vascular pedicle. The latissimus dorsi  muscle is dissected posteriorly until the limits of open dissection are reached, and then the dissection is continued under endoscopic visulization. The largest ahrvested muscle was 15×25cm in size. We followed up from 6 to 15 months.
 We believe that plastic surgeons take advatage of this technique to obtaingood and safe resultswith smaller scars and reduce postoperative donor site morbidity such as pain and wound healing problems. In conclusion, thisprocedure may prove particularly useful in women, children, and those, who are prone to hypertophic scars.
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