Penile/scrotal skin reconstruction is a challenging topic, in which a careful treatment plan is needed. It is important for anatomic and aesthetic restoration, and for functional and psychological reasons as well. The use of local flaps (from scrotum, abdomen, thigh and/or groin) is among the available options. They are easy to perform, has short operative time, and provide like tissues, compared to perforator flaps, myocutaneous flaps and free flaps. The aim of the study was to evaluate the use of local flaps in the management of various penile/scrotal skin defects. Patients included in the study were those suffering from penile-scrotal skin defects, caused by various etiologies, who were treated solely by local flaps from neighboring tissues. Extensive debridement was done initially in the infected cases. Closure was attempted after resolution of tissue edema. Scrotal flaps, advancement or rotational abdominal, groin & V-Y flaps were performed in all cases according to injury complexity and intra-operative availability. The study was conducted on 15 patients. Eight post-infective, four acute traumatic injuries, two post-trauma scarring, and one post burn scarring. Wound infection was superficial in four cases, and responded well to repeated dressings. Gaping occurred in one case following deeper infection, and in another due to unexpected erection; Treated by secondary sutures, antibiotics and sedatives for 3 weeks. Patient satisfaction was excellent in 10 cases, acceptable in 4 cases, and poor in one case. The study showed that reconstruction of peno-scrotal defects using local flaps yielded good results, with good patient satisfaction, and few complications. In properly selected patients, local flaps can be the surgeons first choice, and provide an important means of reconstruction for peno-scrotal defects. Key words: Penile skin defects, scrotal skin defects, local flaps, penile trauma, Fornier’s gangrene.