The vascularised fibula flap has been used in mandibular reconstruction for three decades. An e-survey of pre-operative lower limb evaluations being utilised by UK maxillofacial head and neck surgeons was carried out in order to gauge if there was any uniformity in practice. Our results show that routine pre-operative evaluation is the expected standard but the modalities used vary among the different units. The results compare favourably with previous published figures. (C) 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.