Skin graft fixation constitutes the most important element for the success of the reconstruction. The stability of the skin graft over the wound is a determinant factor for its survival. Many techniques have been described in the literature for fixing the skin graft. The most frequent of the techniques is the tie over technique. Staples, fibrin glue are other advancements in the arena of skin graft fixation. The skin graft is covered by a dressing material which keeps it undisturbed and protects the graft from infection. The quest for an ideal dressing material has led to many innovative materials and methods to apply them.