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The tensor fascia lata (TFL) flap is the method of choice for coverage of trochanteric pressure sores. Variations of this flap have been proposed to improve mobilization of the transferred tissue and reduce suture line tension, including dog-ears such as the V-Y advancement flap, the bilobed TFL flap and the duck modification, the hatched shaped TFL and subcutaneous TFL flaps. In this study, 19 subcutaneous pedicle TFL flaps with a minor modification were successfully used for the reconstruction of trochanteric pressure sores in fourteen patients. A subdermal tunnel was created instead of open incision between the recipient site and the donor site of the cutaneous part of the flap for preparation and rotation of the subcutaneous pedicle to reduce the risk of postoperative dehiscence problems and simultaneously provide a better cosmetic appearance. The results showed the reliability of the technique from both structural and aesthetic points of view.