Object: Evaluate the local flap - plasty surgery result of skin injury after radiation therary of vulva cancer. Subject: 21 patiens with inflamation and ulceration at local vulva skin after radiotherary. Method: retrospective. description. Removing all area skin injured after radiation, applied local Z-plasty flap surgery at the femeral inferior. Result: there were 66.6 percent patiens with total recover of scar, sub total recover of scar and wound care after surgery was 33.3 percent. All patiens discharged from hospital were very good condition without vulva area inflamtion, ulceration and pain. Conclusion: The local Z- plasty flap surgery method could apply on therapy for skin injury after local radiation therary of vulva cancer.