Microvascular surgery developed as a subspecialty area at the Toronto General Hospital and the Hospital for Sick Children. Since the initial development of the subspecialty in these two hospitals, microvascular surgery has become more popular and is now practised to some degree in practically all our affiliated hospitals.

At the Toronto General Hospital the largest volume is in head and neck reconstruction, breast reconstruction and extremity reconstruction, with approximately 250 free tissue transfers per year.

There is also a replantation service at the Toronto Western Hospital with approximately 50 replant cases per year.

Other microsurgical exposure occurs at Sunnybrook Hospital (extremity reconstruction) and St. Michael’s Hospital (breast reconstruction, extremity and trauma reconstruction).

There is also an extensive microvascular program at The Hospital for Sick Children under the direction of Dr. Christopher R. Forrest.

The Surgical Skills Laboratory is used to run a microvascular course.