Abstract—Patients who meet with the dreadful accident of post-traumatic amputation are further devastated with the decision making process of whether to salvage the limb or to go for amputation. There are number of factors which need to be considered and include; the scoring systems like Mangled Extremity Severity Score (MESS), patients socioeconomic status, patients compliance and motivation. We present a case of lower leg replantation in a 23 years male patient.