Abstract Aim: We aimed to assess the value of excision of plantar wart and rotation skin flap closure for its management in comparison to other surgical approaches like minor surgery (electro cautery) which involves cutting or destroying the wart by using an electric needle under anesthesia with reference to patient satisfaction, patient outcomes and complication rates. Method: 30 patients are included in the current study, 15 of them had undergone plantar lesion excision with rotation skin flap between and 15 of them are managed by electro cautery and debridement. Then we have assessed outcomes, complications and patients’ satisfaction. Results: We have found that treatment of plantar skin lesions by excision and rotation skin flap closure is better than the other minor surgical approaches and there is a statistically significant difference between both groups regarding occurrence of pain (p=0.048), post-operative recurrence (p=0.033), presence of painful ugly scar (p= 0.023) superficial ischemia (p= 0.049) and patient satisfaction (p= 0.032) Conclusion: The current study has demonstrated that excision and rotation skin flap closure is an effective and alternative safe surgi-cal procedure for management of intractable huge plantar warts.