We describe the use of a plantar fillet flap in the context of limb preservation surgery. Using the ‘spare-parts’ principles and the old technique outlined by Singer et Al [1], a pedicled plantar fillet flap was undertaken. A 61-year-old male was in a motor bike accident presented with extensive soft tissue and bony defects to his right lower limb. The severity of his injury rendered his leg non-salvagable with an AKA planned by orthopaedic colleagues due to deficient soft tissue coverage. The foot was anatomically in tact and well perfused so we performed a plantar fillet flap to preserve length and allow a successful below knee amputation. The surgical procedure involved dissection and elevation of a composite soft tissue plantar flap, carefully preserving the major vascular pedicles (medial and lateral plantar vessels) and raised on the PT vessels. The flap was meticulously tailored to match the amputation defect's dimensions, ensuring optimal coverage of the bony prominances and vascularization (safe pedicle coiling). Photographs will illustrate the intricate surgical techniques, emphasizing anatomical considerations that influenced flap design and orientation for stump length preservation. Postoperatively, the patient exhibited favourable healing outcomes and successful below knee prosthesis fitting with good rehabilitation potential. We feel this solution offered a successful outcome, but will also debate the pros and cons of pedicle shortening by applying microsurgical techniques in this context.