Purpose: We have many choices of surgical methods with scrotal reconstruction after Fournier’s gangrene. From the aesthetic perspective, the reconstruction method with anterolateral thigh perforator pedicled flap is better than other options. We report our experience with postoperative results and aesthetics of the anterolateral thigh perforator pedicled flap.

Materials and Methods: From November 2011 to May 2013, 4 patients underwent anterolateral thigh perforator pedicled flaps. The authors checked the aesthetic results and occurrence of complications at follow-up exams.

Results: There was no total or partial necrosis of flap among the four patients. The only complication was wound dehiscence followed by infection that healed secondarily during the follow-up period.

Conclusions: Anterolateral thigh perforator pedicled flap is a very useful choice for surgery at the defect caused by Fournier’s gangrene because it is relatively thin, offering an excellent aesthetic result.