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, when-ever 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.