Heel defects can occur for a variety of reasons, such as trauma and tumor resection, and a skin flap should be used to repair the tissue defect, which may include expose of Achilles tendon or bone. It does not seem appropriate to use a graft in this case, because it causes chronic wounds due to contact with shoes. In such cases, the gastrocnemius flap or sural flap and the plantar medial flap can be used. The advantage of the medial flap is that sensible and the volume of the flap is small. Outcome of medial plantar flap in elderly people are less studied. At this article, the results of using and repairing the heel defect by flap in an elderly woman is explained. According to the results, the use of this type of flap is recommended as an effective method in heel reconstruction, especially after melanoma excision, even in the elderly age.