Background: Challenging the prevailing belief in Sushruta as the father of plastic surgery, an examination of earlier records brings forth a different narrative. The translation of the Edwin Smith Papyrus by James Henry Breasted in 1930, dating back to 1700 BC, illuminates the ancient Egyptian surgical heritage. Alongside the Ebers Papyrus and evidence from prosthetics, these ancient documents offer insights into the early acknowledgment of reconstruction in surgical practices. Methods:Detailing 48 injuries systematically, the Edwin Smith Papyrus hints at basic reconstruction in cases 11 to 14 and case 23. Simultaneously, the Ebers Papyrus addresses burn wounds, indicating implicit considerations for restoration. The discovery of a functional prosthetic great toe challenges prior assumptions about the post-mortem use of prostheses. Results: Ancient Egyptian surgical practices, outlined in these papyri, introduced early suturing methods and bimanual reduction in maxillofacial trauma. The Ebers Papyrus contributed a segment on burns, reflecting long-term considerations for restoration and reconstruction. Prosthetic findings, such as the functional great toe, provide tangible evidence of early recognition of the importance of restorative outcomes. Conclusions: Despite the absence of flap procedures, the ancient Egyptians, through the Edwin Smith and Ebers Papyri, exhibited a well-defined surgical discipline with a focus on restoration and reconstruction. Subtle indications and prosthetic usage underscore their early consideration of restorative outcomes, significantly contributing to the historical foundation of Plastic and Reconstructive Surgery. Ref: Nerlich, Andreas G., et al., Ancient Egyptian prosthesis of the big toe. The Lancet, 2000. 356(9248): p. 2176-2179.