Objective To summarize microskin grafting in recent 15 years.Methods Microskin grafting was performed in 162 patients with extensive burn. The indications and forms of the grafting, mechanization in making microskin and outcome of wound recovered by micrografts were discussed.Results Extremely extensive third degree burns, common extensive third degree burns and extensive granulation wound were healed by different ways of microskin grafting. A new machine was used to mince micrografts with good clinical results. The homografts as covertures were exfoliated in either necrosis or desquamation. Scar formation was related to wound repair. Conclusions Microskin grafting has made progress in recent years. The orientation and even spread of micrografts are very important for good wound repair. The technique should be further improved.