Up-to date treatment of oncological diseases, in particular the vulvar cancer, leads to increasing of survival, in which to the foreground outlines not only the physical health but as well better social adaptation, sexual and adequate mental life of patients. Reconstructive surgery takes place in the oncological practice more and more. For vulvar reconstruction after operative treatment can be used cutaneous flaps and grafts, skin-fascial and myocutaneous flaps. The autors present their experience by describing in details the technique of vulvar reconstruction by myocutaneous flaps from m. tensor fasciae latae. It helps for eliminating the negative results of enlarged operative therapy.