Reconstruction of small and intermediate defects of the skull have already been done with a variety of techniques. However, scalp defects due to trauma, congenitallesions, and resection of neoplasms are often large and can be a technical challenge. The free flap reconstruction provides a reliable, single stage coverage of these difficult scalp and forehead defects where other methods are unsuitable. Also. reconstruction of bony and dural defects should be considered separately utilizing autogenous tissue and / or alloplastic material. In this paper, a 50-year-old man with are current basal cell carcinoma of the scalp which also invaded bone and dura and its management with free radial forearm, flap is presented.