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Abstract : The most frequent location for oral cavity cancer is the tongue, where squamous cell carcinoma is the predominant cancer form. It is known that squamous cell carcinoma of the tongue demands a great challenge, particularly in proper treatment planning. Ablative surgery followed by free flap reconstruction is now considered the gold standard treatment for squamous cell carcinoma of the tongue. The free anterolateral thigh flap has now gained more popularity among reconstructive surgeons for tongue reconstruction. However, the bulkiness of the neo-tongue can somehow affect mobility and the cosmetic outcome. This article presents a case of tongue squamous cell carcinoma in which hemiglossectomy is performed, and free tissue transfer of a fasciocutaneous anterolateral thigh flap is used to reconstruct the new tongue. We highlight the cosmetic outcome and the tongue's functions as they were optimally restored with this reconstruction choice, making the fasciocutaneous anterolateral thigh flap one of the ideal flaps for tongue reconstruction regarding aesthetic and functional outcomes.