This elegant and beautifully illustrated article requires to be carefully studied in its entirety by any surgeon planning to carry out lymphovenous anastomoses or vascularised lymph node transfer in the groin area. As the authors point out, the most difficult decision to be made in this surgery start with where to make the skin incision, this being vital to the success of the operation. With this in mind, there is really no alternative but that the whole article should be read, learned and inwardly digested in its entirety. It is so well and lucidly written that this should be no hardship to those involved in this work. A summary in a review is no alternative.