Burn injury remains one of the most devastating ordeal that a human being can sustain because of the function of the skin on vital and psychological levels. After-effects are mainly observed at cutaneous level as functional and aesthetically deformity contractures and may be linked with deeper lesions too. In most cases secondary surgical procedures are undertaken after stabilization of the inflammatory process but earlier surgery is needed in some cases because of problems encountered at ocular, mouth and neck levels mainly. All the possibilities of plastic surgery can be utilized. However in our practice Z plasties and skin grafts represent the basis of the burn reconstructive surgery while the more recent technique of tissue expansion has extended the part of local and regional flaps (but one should not use it as a routine method).