From my experience with the care of the severely burned, I believe that the following points are especially important: 1. During the first day or so the systemic changes assume a position of greater importance than the local injury. 2. Later in the care of the local lesion the use of fundamental principles of cleanliness and good drainage, in contradistinction to the use of this and that preparation or technic which ignores these principles, represents sound treatment. 3. Insistence on the necessity of early resurfacing of the resultant granulating surface should be stressed because of the marked decrease in the period of convalescence with its economic potentialities and the extent to which functional incapacitation from contracture or cosmetic blemishes can be forfended. 4. When the time for skin grafting is at hand, dependence on fundamental principles and methods, in contradistinction to the use of unusual types of grafts with or