Objective　 To evaluate the application of the distally  pedicled neurocutaneous island distal at the medial aspect of the foot for repair soft-tissue defects at the forefoot.　Methods　From January 2012 to September 2016, 10 cases of forefoot soft tissue defects were treated with the distal pedicled neurocutaneous island  flaps  at the medial aspect of the foot.　Results　Flaps in 9 case survived, and in one case partial necrosis developed. Additionally, after six months to one year follow-up, all of the ten cases were evaluated as satisfactory. For instance, the flaps had a good external appearance of color and texture without swelling and ulceration.　Conclusion　The study suggests that the method of the distal pedicled  neurocutaneous island  flaps at the medial aspect of the foot would be a potential tool for repair of soft-tissue defects at the forefoot, because it was reliable and the flaps had the characteristics of soft, good appearance and minimal donor-site damage.