Background: Reconstructing extensive and deep lesions of the PALMAR of the hand is a problem occasionally occurred for the affected patients. Nowadays, skin graft, pedicled flaps, abdominal flaps, and free flaps are therapeutic approaches usually used for these patients. However, these techniques are associated with a number of complications such as thickened or inflammation of the graft, flap adhesion to the underlying structures, and altered color or structure of the graft. The present study was carried out in Alborz and 15 Khordad hospitals to evaluate the outcomes of reconstruction of the PALMAR of the hand during a 7-year period, 1994-2001. Materials and Methods: It was an existing data type study. All patients who have undergone reconstruction of the PALMAR of the hand were followed. Initial data including sex, age, type Of lesion, and the surgical techniques were all recorded. Surgery outcomes, complication on the operated site or the flap site, presence of hair, flap thickness, its adherence to the underlying tissue or graft were all determined. Results: Ot 36 eligible reports, 16 were burned by flame, 10 with hot liquid, 6 electrical burning and the remaining 4 were burned by hot materials. We have observed any noticeable defect or complication in instep site of the flap. Meanwhile, instep flap of the foot was hairless. Its color, structure, thickness, and adherence were compatible with PALMAR region. Furthermore, its size was suitable. Conclusion: We have found that the free instep flap of the foot is the best to be employed for PALMAR lesions.