This is an educational overview of limb reconstruction in the management of sarcoma, highlighting the therapeutic options, principles of surgery, and process of care involved in optimising the reconstructive surgeon's role within the multidisciplinary process of sarcoma care. It reflects 15 years experience in the field, experience in thin perforator flaps, functional muscle flaps, a change from adjuvant to neoadjuvant therapy as standard, and input from colleagues (for example in quadricep reanimation research). Salient cases will be shown to highlight messages, and there will be a focus on functional reconstruction, and a reflection of the role of prosthetics.