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Sir, We read with great interest the recent article, ‘A simple technique of marking the perforator of a free flap for post‐operative monitoring’[1] published in your reputable journal. The authors have demonstrated a reproducible alternative to conventional methods for marking perforator vessels and boast a decrease in caution calls due to doubts about the vascular status over the past 3 years.[1] However, it would also be interesting to know the resulting rate of nosocomial infections in this period.

Concern with the use of electrodes in perforator marking