Reconstruction of the tongue following ablative surgery is a well-documented technique that shows significant improvement in swallowing, speech, and quality of life. Free flaps, such as the anterolateral thigh, forearm, rectus abdominis, and latissimus dorsi flaps, are the most commonly used in tongue reconstruction. Additionally, in recent years, the profunda femoris artery perforator flap (PAP flap), discovered by Argentine surgeon Claudio Angrigiani in 2000, has gained recognition in head and neck reconstruction, particularly for tongue reconstruction. This article aims to present a technical note focused on the application of the PAP flap in tongue reconstruction.