MicrosurgeryBalancing Training Opportunities and Patient Outcomes A Single Surgeon’s ExperienceMughal, Maleeha MBBS, MSc, FRCS (Plast)a,b; Sleiwah, Aseel MBChB, MRCS, MSca; Townley, William MA, BM, BCh, MD, FRCS (Plast)aAuthor Information From the aDepartment of Plastic Surgery, Guy's and St. Thomas' Hospital, London, United Kingdom bDepartment of Plastic Surgery, University Health Network, Toronto General Hospital, Toronto, ON, Canada. Received February 3, 2020, and accepted for publication, after revision December 6, 2020. Conflicts of interest and sources of funding: none declared. Reprints: Maleeha Mughal, MBBS, MSc, FRCS (Plast), Department of Plastic Surgery, Guy's and St. Thomas Hospital, 5405, 50 Charles St E, Toronto, ON M4Y 0C3, Canada. E-mail: [email protected]. Annals of Plastic Surgery: October 2021 - Volume 87 - Issue 4 - p 440-445 doi: 10.1097/SAP.0000000000002727 Buy Metrics Abstract Microvascular free tissue transfer is the criterion standard of reconstruction post–oncological resections of the head and neck region. We present a consultant's first 200 consecutive microvascular head and neck reconstructions in independent practice. A retrospective analysis of a prospectively collected database of all head and neck reconstructions performed in the first 3 years of practice was performed. These included 200 consecutive microvascular head and neck reconstructions performed by a single surgeon at a tertiary referral center. We review the results and complications in this series and discuss factors significant for successful outcomes in head and neck reconstruction. We also highlight that different parts of the surgery in the majority of cases were performed by a trainee under the supervision of the senior surgeon and thus discuss the need for training future plastic surgeons with an interest in head and neck reconstruction. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.