Free fascial and septo-fascial flaps may be used to reconstruct gliding structures for nerves and tendons in combination with skin grafts to cover exposed bones, joints, tendons and nerves, and as filling material for contour correction. The advantages are the minimal disfigurement of the donor site, the very thin soft tissue cover created, and the possibility of avoiding adhesions. Possibilities of the use for reconstruction of gliding structures are shown. In a special case the superiority compared to simple tenolysis is demonstrated. Such flaps include the gliding tissue between latissimus dorsi and serratus anterior based on the thoracodorsal artery, the galea flap on the superficial temporal and the forearm septo-fascial flap on the radial.