This article gives an overview of reconstructive microsurgery. It is writte
n for residents and fellows training in plastic and microsurgery and practi
tioners who are intimately involved in the clinical practice of complex rec
onstructions. The authors describe the highlights of the history of microsu
rgery and relevant clinical principles. The final portion of this article i
s designed to elucidate some, of the tremendous advances in limb transplant
ation and the future directions of microsurgery.