We have read the article by Hanada et al1 from the July 2019 issue of Wounds with great interest and acknowledge that split-thickness skin grafting (STSG) following sarcoma resection is a feasible and noninvasive means of defect reconstruction. The comparison to traumatic defects certainly underpins the safety and efficacy of the method. However, regarding the given defect sizes and localizations, as well as associated defects in tissue volume, we propose free or pedicled flap reconstruction not only would have been feasible, but superior to STSG in most of their1 cases.