Necrotizing fasciitis stands as a formidable and potentially life-threatening soft tissue infection characterized by rapid, aggressive tissue destruction. This insidious condition, often referred to as the 'flesh-eating disease,' poses a significant challenge in clinical management due to its swift progression and the imperative for prompt intervention. We present the case of a 52-year-old male who unfortunately developed necrotising fasciitis of his right hand secondary to streptococcus pyogenes after a tooth injury while playing with his children. He had extensive debridement to save his life and limb but was left with a soft tissue defect that required multiple surgeries. He underwent seven debridement's before undergoing free tissue reconstruction of his hand unfortunately the defect was to great and area of exposed hand remained. He subsequently underwent a salvage buried delto-pectoral flap to preserve his hand over that or amputation. Fortunately for him he has had a successful outcome preserving his hand with some functional return achieved with hand therapy. We will discuss the patient's peri-operative, post-operative and rehabilitation course focusing on the late salvage with a rarely performed method of soft tissue coverage.