The supraclavicular flap is a fasciocutaneous flap supplied by the supraclavicular artery. It has several advantages including a long pedicle, consistent rotation, and good color and texture match for facial and neck defects. The flap is harvested from the shoulder by first identifying and marking the supraclavicular artery, then raising the skin and fascia in a distal to proximal direction and tunneling it under the neck to the defect site. The supraclavicular flap provides a single-stage option for reconstructing head and neck defects.