The parumblical axial skin flap contained leap the parumbilical perforating branch of the inferiorle expigastic artery in its pedicle. It was designed to treat the scaring wounds of the upper limb in 5 patients with success. In the five patients, the scar on the dorsal aspect of the hand in 2, over the elbow in 1, on the palmar aspect in 1 and wound over the elbow in 1. The size of the flap ranged form 23 cm x 10 cm to 16 cm x 7 cm. The pedicle of the flap was made a tube. The limb was immobilized by plasten of paris after operation. All of the flaps were survived. The pedicle was divided at the hird week postoperation. The vascular supply of the flap was constant. The operation was also easy. This flap was feasible for the repair of the scar or wound of the hand, wrist, forearm, and, especially the elbow.