BACKGROUND: To study the versatility of buccal fat pad in oral and maxillofacial reconstruction and its outcomes. METHOD: This study was undertaken to assess the use of buccal fat pad (BFP) as a pedicled graft to reconstruct medium-sized surgical defects of the oral soft tissues in 20 patients (n=20) like OSMF, OAC and Palatal non-healing ulcers etc. Two of all the defects were in the hard palate (10%), four were of OAC (20%), and fourteen in the cheek and oral commissure (70%). The BFP was left uncovered to epithelialize in all patients. RESULT: 20 patients meeting the inclusion criteria were selected for the study and BFP was used for its reconstruction. BFP healed without any complications within 3 to 4 weeks in all the patients. Harvesting the graft proved to be extremely easy, and care was only necessary to avoid severing the supporting vascular plexus and the thin capsule covering the BFP. CONCLUSION: The findings support our study that the BFP is a useful, easy, and uncomplicated alternative method for the reconstruction of small to medium-sized surgical defects of the oral soft tissues.