Skin grafts are used in a variety of approaches for Dupuytren’s: to add skin where it has been shortened (fasciotomy and skin graft, fasciectomy and skin graft); to replace skin where it has been removed to prevent recurrence (dermofasciectomy and skin graft). This study reviews the results of fasciectomy and skin graft. The recurrence rate was better than simple fasciectomy: 7% recurrence rate at four years. The study also reminds us that for Dupuytren’s, even smart surgery by skilled surgeons has significant downsides: three of ten patients lost some feeling in their fingers and four out of ten had cold sensitivity as a direct result of surgery. We need even better treatment options.