Peripheral vascular disease, neuropathy, musculoskeletal, and metabolic disturbances cause diabetic foot ulcers. Surgical debridement, antibiotic therapy, and optimization of the wound for a definitive cover form the early management of diabetic foot ulcers. Once the infective phase is controlled, skin resurfacing is crucial for salvage of the foot, preventing recurrence and rehabilitation, which enables the patient to walk on his/her own foot. In selected cases, local flaps provide good reconstructive solutions for the feet. Dividing the foot into various zones guides us in choosing an appropriate flap for the most effective reconstruction. Vigilant postoperative monitoring, surgical/non-surgical offloading and regular follow-up of the patient enables us to provide sustainable reconstruction on a long term.