This paper discusses and illustrates the complicated problems faced by the
plastic surgeon in a cancer hospital. His patients are often weakened, both physically and psychologically, not only by the
cancer itself, but also by extensive ablative surgery. The goal of the
plastic surgeon is rehabilitation of the patient after he is cured of
cancer. Good planning with the
cancer surgeon before the ablative operation is very important, as is immediate repair, whenever possible. The simplest procedure with the fewest stages that can accomplish satisfactory repair in the shortest time should be chosen, as we can never, even after the most extensive
cancer operation, be sure that no recurrence will appear. Partial surgical repair and the use of a
prosthesis should be considered for complicated defects in old and weak patients. Postoperative
radiation therapy, if indicated, can be given after the flap has healed into the defect but before the pedicle is separated. The
plastic surgeon should always be aware that his most important goal is speedy and satisfactory rehabilitation of the patient.