Abstract: Objective To explore the application of individuation skin flap in tongue reconstruction, which may make a patient's swallowing and language function recover soon, increase a patient's compliance to surgery, and reduce a patient's mental trauma to the most degree.MethodSixty-seven cases of patients with tongue squamous cell carcinoma were given radical surgery and adopted by implementing individuation skin flap shift and transplantation for tongue reconstruction.The results of postoperative recovery situation,the occurrence of complications,surgical compliance,and the possible mental trauma of the patients were judged and analyzed. Results Sixty-seven cases were healed up during I period of surface wound.Thrombosis occurred in 1 patient,while he was rescued successfully.The other patients had no complications.Survival rate of skip flap is 100%.Most of the recreated tongue's shapes were good.Swallowing function returned to normal,and language functional recovery was excellent or good.Patient's psychological situation was good. Conclusion The surgery of individuation skin flap in tongue reconstruction showed high success rate with low incidence of complications, satisfactory functional recovery,and high compliance and minimal trauma for patients.