Effective management of vulnerable wound margins and fragile skin in the area peripheral to wounds is challenging. Maceration by chronic wound exudate and skin stripping, as a result of removing traditional or adhesive dressings, are common causes of damage to peri-wound skin. This article identifies the potential causes of macerated or adhesive damaged peri-wound skin, and critically reviews products and strategies that can be used to minimise the risk or manage established peri-wound trauma. Recommendations for good practice are presented.