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Participants' work generally included a volume of 30-40 MFF per year, in 11 out of 53 cases. A majority (25 out of 53) indicated the COVID-19 pandemic played a part in influencing MFF frequency, with the influence being felt to varying degrees. The radial forearm flap procedure was employed most often (37 out of 53 cases), followed closely by the ALT flap (5 instances), and the fibula flap (also 5 case