The purpose of the study is to identify a repair procedure for the ulcers or defect of the anterior lateral plantar region. The defects of anterior lateral plantar region after resection of the obstinate ulcer, painful corns and callosity were repaired by the retrograde island flap pedicled with lateral plantar artery. One to 10 years following up revealed that all the 10 flaps in 9 patients survived after operation. Patients walked freely without pain and claudication. The flap did not show any sign of damages of the flap even if the patients walked for a long time. It is concluded that the retrograde island flap pedicled with lateral plantar artery is the best choice in repairing the defects of anterior lateral plantar region.