The ZIP flap technique represents an innovative approach to the management of patients presenting with low-level malignant maxillary tumours. It provides effective closure of the resulting maxillary defect restoring speech and swallowing functions and also establishing a high-quality fixed dental rehabilitation in a rapid timescale, thus facilitating a more timely return to function and restored facial appearance. This approach has now been adopted routinely in the unit and it is hoped that a cases series will be presented in due course with more detailed patient outcomes. Further work on the long-term results of the ZIP flap procedure is required together with an ongoing appreciation of the important case selection factors for this treatment protocol.