Aims: To characterize the indications, reconstructive strategies, and outcomes of double free flap reconstruction for extensive head and neck defects following tumor resection. Methodology: This retrospective descriptive study included all patients who underwent double free flap reconstruction following extensive head and neck tumor resection at Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia, between 2016 and 2025. Patient demographics, tumor etiology, defect characteristics, flap combinations, and reconstructive outcomes were collected from institutional medical records. Tumor etiology was classified as benign or malignant. The primary outcome was flap success rate, while postoperative outcomes were evaluated using the FACE-Q Head and Neck Cancer Module. Descriptive statistics were used to summarize the data. Results: Between 2016 and 2025, 38 patients underwent double free flap procedures with an overall flap success rate of 92%. The mean age was 44.0 ± 19.0 years (range, 11–83 years), and 71% were male. Malignant tumors accounted for 76% of cases, while benign tumors accounted for 24%. The most frequently used flap combination was fibula free flap and anterolateral thigh flap (88.8%). Postoperative FACE-Q Head and Neck Cancer Module assessments yielded moderate to good scores (average 13± 3.65). Conclusion: Double free flap reconstruction is a reliable option for restoring extensive head and neck defects following tumor resection, achieving high reconstructive success and favorable patient-reported outcomes. This approach represents a valuable strategy for managing complex composite defects following tumor resection. Keywords: Double Free Flap, Head and Neck Reconstruction, Microsurgery, Free Fibular Flap