Donor-site preferences in split-thickness skin grafting: From the patient’s perspective

Objectives: To evaluate patient preferences for STSG donor sites and analyze their association with demographic variables, laterality, prior grafting history, and clinical diagnosis. Methodology: This prospective observational study included 100 patients undergoing STSG for various conditions, including post-burn raw areas, post-infective wounds, acute burns, post-traumatic defects, and post-surgical raw areas. Descriptive statistical analysis was performed to identify patterns and associations. Results: Most participants (63%) were below 30 years, with a mean age of 27.7 years. Males predominated (79%). Post-burn raw area (31%) and post-infective raw area (18%) were the most common diagnoses. Donor-site preference was expressed by 70% of patients. The thigh was the most preferred donor site (67%), with the anterior thigh being the most common selection (34%), followed by the posterior thigh (26%). Leg donor sites were rarely chosen (3%). Conclusion: The thigh remains the most commonly preferred and utilized donor site in STSG, reflecting its accessibility, surface area, and acceptable morbidity profile. Patient preference is influenced by gender, scar history, and concerns about visibility and comfort. Incorporating patient-centered discussions into preoperative planning may improve satisfaction and aesthetic outcomes. Further research using validated patient-reported outcome measures is warranted to refine evidence-based donor-site selection in burn reconstruction.