Abstract: The successful conduct of operations in the RPS to a large extent depends on effective anesthetic management. The introduction of the achievements of RPS, namely the patch patch method, made it possible to take a qualitatively new step in the treatment of cicatricial contractures and the elimination of cosmetic defects after the removal of keloid scars. Unfortunately, existing generally accepted criteria for assessing the adequacy of anesthesia do not always inform in a timely manner about disorders of the microvasculature of the blood circulation, especially in the area of surgical intervention. The expansion of the possibilities of perioperative control of the peripheral blood flow of the operated area in the RPS can provide more in-depth information on the effectiveness of anesthesia during surgical interventions of this type. The article presents the results of studies of 81 patients with reconstructive plastic surgery on the lower extremities regarding the effects of burns and injuries of the 1-2 degree (ASA I-II class).