With the development of microsurgical procedures, various techniques aimed at grafting free vascularized tissue into the remnant of the tongue have been widely attempted. Even so, current reconstruction techniques that yield satisfactory results in the treatment of tongue cancer are far from effective. Aim of the work: To assess results of a new method of surgical reconstruction of the tongue after hemiglossectomy, with reinnervated rectus abdominis musculoperitoneal flaps which consisted of the rectus muscle, posterior rectus sheath, peritoneum, the 10 th , 11 th and 12 th intercostal nerves, and the deep inferior epigastric artery and veins. Patients and methods: Eleven patients, eight males and three females their age ranges from 48 – 60 years underwent immediate reconstruction of the tongue with rectus abdominis musculoperitoneal flaps after hemiglossectomy. The flaps with their intercostals nerves were transplanted during the same operative procedure. The flaps ranged from 8 x 5 x 2 cm to 10 x 7 x 2.5 cm in size and were adjusted to the defect of the tongue. The intercostal nerves were anastomosed to the cut end of the descending branch of the hypoglossal nerve and the deep inferior epigastric vascular pedicles were anastomosed to appropriate vessels in the upper neck.