Skin grafts are a fundamental component of modern wound reconstruction, in particular in the management of burns1. Skin grafts were first described as early as 3000 BC by the Sushruta Samhita and evolved as an adjunct in the “Ancient Indian Method” of nasal reconstruction with a paramedian forehead flap1,2. As part of this procedure, a full thickness graft was harvested from the buttock after it was struck with a wooden sandal to induce local oedema2. Following this development, a number of centuries followed with little advancement in practise1,2. This was largely due to societal and religious pressures within Asia and Europe, where surgical procedures were felt to be unclean2. In the early 19th century, an Italian physician, Giuseppe Baronio, performed successful free skin grafting on sheep1,2. Following this, Christian Bünger performed the first verified full thickness skin graft to a nasal defect1,2. In 1869, Jacques-Louis Reverdin developed his technique of the ‘pinch graft’, which was later used by Georg Pollock to graft a burn1. In 1872, Louis Ollier and Carl Thiersch both described a technique of grafting utilising the epidermis and a superficial component of the dermis1. This split skin graft was utilised by Zora Janzekovic in 1970 following tangential excision of burns, and this technique is still the current gold standard of burns surgical management1,2. Bibliography: 1. Kohlhauser M, et al. Historical Evolution of Skin Grafting-A Journey through Time. Medicina (Kaunas). 2021;57(4):348. Published 2021 Apr 5. doi:10.3390/medicina57040348 2. Ozhathil DK, et al. A Narrative Review of the History of Skin Grafting in Burn Care. Medicina (Kaunas). 2021;57(4):380. Published 2021 Apr 15. doi:10.3390/medicina57040380