A case report of successful microvascular replantation of a totally avulsed scalp is presented. The scalp itself, in good condition, was used as a free flap. Following operation, the right temporal artery was patent; the left was not. Repair of the left temporal artery was not attempted but large thrombi were milked from the scalp veins. Excellent perfusion of the scalp was provided through the right side. Hair growth began soon after operation, spotty at first but eventually excellent.