Abstract: Objective To study the procedures of applying composite skin graft consisting of acellular allogenic dermis and autologous skin in the treatment of full-thickness burns and scar formation.Methods Fifteen burn wounds in 8 patients were treated with the composite skin graft using one-stage grafting.Results Complete wound healing was achieved in 13 wounds. The external appearance, texture and flexibility of the grafted skin were satisfactory in most cases and no obvious scar formation was observed.Conclusion One-stage grafting of the composite skin graft yields a high success rate for most burn wounds with good basal layer condition.