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Figure 4: (Above, left) EMPD involving the pubic region. (Above, right) After resection, resultant defect measured 10 × 12 cm with underlying pubic ramus exposed. (Below, left) Pedicled anterolateral thigh perforator flap was harvested based on the perforators arising from the descending branch of lateral circumflex femoral artery. The flap then passed through a subcutaneous tunnel to reach the defect in the pubic region. (Below, right) Flap after inset and donor defect on the left thigh was closed primarily.