The tensor fasciae latae flap is a well known muscutocutaneous flap used for many indications in the field of plastic surgery. The flap has some modifications to fit different reconstructive requirements of the defects. Osseous muscle flap, osseous muscutocutaneous flap, muscle flap, muscle fascial flap and muscutocutaneous-fasciocutaneous flap are some known alternatives. We used a modification of this well-known flap as musculocutaneous and fascia flap for a composite reconstruction of groin and urogenital. defect. We reconstructed the groin defect with muscutocutaneous part of the flap, and the defect over neourethra with the fascial extension and grafting. The aim of this modification was to reconstruct a genital defect with a thin and more pliable tissue to overcome the problem of distortion, kinking and thickness of the flap. (c) 2005 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.