Progress in treatment of pressure ulcers over the past decade has contributed to our ability to more effectively treat problem ulcers. Through choice of the proper dressing, wound environment and cellular activity may be positively influenced and wound repair accelerated. Electrical stimulation, biologic implants, and growth factors are advanced forms of treatment that will become more accessible during the 1990s. Despite all the progress made, one must remember that these modalities are not substitutions for the care necessary to prevent the occurrence of pressure ulcers. Appropriate care and knowledge of available products are necessary to ensure the most effective treatment.