Aim: To analyse efficacy and complication of forehead flap in nose reconstruction. Material and Method: The prospective observational study was conducted in the Department Of General Surgery in Subharti Medical College and Hospital from November 2018 To August 2020 among 30 patients undergoing nasal reconstruction with forehead flap. Two stages surgical techniques were used in each patient in order to achieve an acceptable aesthetic result. The forehead consists of multiple layers; skin, subcutaneous tissue, frontalis muscle with fascia and a thin areolar layer. The forehead flap was transferred in two stages, where the flap was thinned during the first stage to improve the aesthetic result, possibly jeopardizing its vascularity and decreasing chance for flap necrosis. During the period of follow up, patients were examined for functional as well as cosmetic outcome. Data was analysed using SPSS version 24.00. Results: With regard to checking vitality of the flap, color of flap remained normal in 27 patients, only in two patients, it was seen slight bluish and in one patient, it was pale in immediate post-operative period. 16 (53.33%) patients were fully satisfied with the donor site esthetic and 23 (76.67%) patients were fully satisfied with their mouth opening. Necrosis was revealed in 6.67% of the subjects. Conclusion: We conclude that large nasal defects can be restored with good cosmetic and functional results in patients with this technique. However, the ability to endure the forehead flap procedure should be carefully evaluated and discussed with the patient.