The wrap-around flap became the most popular technique for reconstruction of an amputated thumb, because it can create an aesthetic and functional replica of missing thumb without losing any toes. It provides length, stability, and adequate sensibility for a functional pinch and grasp. Nevertheless, long-term results revealed complications of donor site and reconstructed thumb. In this article, we describe our recent version of the wrap-around flap technique and discuss its complications and ways of preventing them.