Background: Plastic surgery is essential for treating various conditions that affect patients’ functionality and appearance. Understanding patient characteristics, indications for surgery, surgical techniques, is vital for improving Plastic Surgery practice.

Aim: The aim was to examine the sociodemographic data, indications for surgery and surgical techniques, of patients treated over a one-year period at the Plastic Surgery unit of Federal Medical Centre, Keffi, Nassarawa State, Nigeria.

Methods: A retrospective review was conducted on 102 patient records. Data on age, gender, admission type, indications for surgery, anatomical regions, and reconstruction techniques were retrieved and analyzed using SPSS version 27. The results were presented as proportions.

Results: The mean age was 32.53 ± 20.60 years. Most cases were in the 1 - 10 years (18.6%) and 31 - 40 years (17.6%) age groups. There were 56 males (54.9%) and 46 females (45.1%). The majority of cases were elective (87.3%). The most common indications for surgery were trauma (26.5%), followed by burns/post burns and post infective (both 15.7%). Direct closure was the most commonly used reconstructive technique (45.7%), followed by skin grafts (34.8%). Local flaps accounted for 72.2% of flap procedures, and intermediate complexity cases were most common (36.3%).