Background and Aim: Heel pad loss after trauma, complicated diabetic foot ulcers, and soft tissue tumor extirpation can lead to limb amputation in the absence of a sound reconstructive approach. The expectation of regaining good functionality, sensation anddurable tissue (rather than mere wound coverage) further complicates the aims of limb salvage surgery. The present study conducted to assess the functional outcomes after heel pad reconstruction using various methods conducted at our centre.Material and Methods: The present institution based prospective observational study was conducted at department of Plastic and Reconstructive surgery I.P.G.M.E.R.&S.S.K.M. Hospital from October 2021 – September 2022 among 25 patients admitted to our institute during the study period with heel pad defect.Questionnaires adapted from the subjective components of the AOFAS hindfoot clinical ratings scale to determine the pain and functional outcomes according to limitations of activity, walking distance, and walking surfaces.Sensation was objectively assessed by using the Semmes-Weinstein monofilament test at the flap site.Lastly, a clinical assessment was also performed to evaluate the presence of ulcers at the flap site.Results: Majority of the subjects in this study were males (88%). Maximum subjects were from age group of >50 years (52%) followed by 20-35 years (32%). Most common etiology for the defect in this study was trauma. Most common flap type to repair the defect in this study was RSA (68%) followed by MPA (16%). Complications viz. marginal necrosis and ulceration was reported among 8% and 28% of the subjects respectively. In our study mean AOFAS subjective score was highest for MPA flap.Conclusion: In conclusion, heel pad reconstruction is challenging and flap selection and the need for sensory preservation to optimize the best outcomes remain controversial. Good functional outcomes were achieved with heel pad reconstruction in our center. Early wound coverage within a week mitigates infection, less hospital stay and enhances productivity of individual.