Flaps are vital in wound, surgery, and infection repair. Flap necrosis is a common complication that increases hospital stays and morbidity. Stem cell treatment improves flap angiogenesis by secreting growth factors and cytokines. Autologous Bone Marrow Aspiration Therapy (ABMAT) uses stem cells from bone marrow to increase cell proliferation, vascularization, inflammation reduction, and fibroblastic activity. This article highlights the role of Autologous Bone Marrow Aspiraion Therapy (ABMAT) in prevention of flap necrosis in electrical burns.