The use of dental implants and prostheses in the oral rehabilitation process after maxillofacial ablation procedures is now regarded as standard practice. Numerous donor sites for free vascularized bone transfer in head and neck reconstruction have been well-documented in the literature including the ribs, ilium, fibula, scapula, and radius. Among these, the fibula is the most commonly used and studied for placing endosseous implants and for rehabilitation purposes. There are benefits and drawbacks to the fibula flap. This paper aims to provide a review of the current research on the long-term success rates of implants in fibula free flaps.