The rectus abdominis free flap is a versatile myocutane- ous flap based upon the deep inferior epigastric artery and its associated vena comitans. The flap was first described by Drever in 1977, as the ‘epigastric island flap’ and later adapted for breast reconstruction. 1 Credit is also given to Mathes and Bostwick for their use in abdominal wall reconstruction during that same year. 2