I've had the forearm free-flap and graft from my thigh to cover my wrist, and I'm doing fine with it. I also had a layer of integra put down under my graft to keep my graft from sticking to the tendons in my arm (but I've yet to find anyone else who had this done). My graft to cover my wrist was done in a separate surgery about a month after they took the flap to allow the integra to take and I had a wound vac put over it in between the surgeries (some kind of new fandangled negative pressure stuff). Yeah, the scar is pretty noticeable on my arm, but it's worth the trade - and it's fading a lot now. The only thing I notice with not having the artery in my arm is that the small area of skin that the artery was located under gets cold and the veins in my arm show up more than they used to. That's it, other than that, I exercise and lift weights and do things normally with my arm - I haven't tried cartwheels or handstands yet, but that is coming soon I'm sure.