A case of total abdominal wall reconstruction in a 22-year-old man is presented. He had an omphalocele which was covered initially with skin grafts, thus creating a huge abdominal hernia. Two tensor fascia lata flaps, each measuring 14 × 36 cm, were used to reconstruct the abdominal wall following delay. This method, whenever available, is in our opinion the best and most reliable way to reconstruct the abdominal wall. Myocutaneous flaps now have extended use in plastic and reconstructive surgery [1, 3, 5, 6, 8, 10]. The tensor fascia lata (TFL) myocutaneous flap is unique in its fascial extension and large overlying skin territory which makes it ideal for abdominal wall repairs.