Surgical intervention is necessitated when medical management fails in leg ulcers. 30 cases of non healing leg ulcers present for more than 4 weeks were subjected to postage stamp grafting. The grafts were harvested by split thickness skin or pinch grafting techniques. These grafts were cut into postage stamp graft size of 2-3 sq.cm and placed over the prepared ulcer beds. 17(56.70%) ulcers were vascular (venous 14, arterial 3) in origin, while trauma, diabetes and leprosy were responsible in 6(20%), 3(10.0%) and 2(6.70) cases respectively. 2(6.7%) cases had combined etiologies. In 21(70%) cases, ulcers healed completely (Grade I); 7(23.7%) cases healed initially but subsequently broke down (Grade II) while in rest of 2(6.7%) cases, ulcers never healed (Grade III). Success rate was 70%. Two cases of lepromatous leprosy with ENL and varicose veins never healed. Postage stamp skin grafting is a reliable, simple, and easy to master surgical procedure for the management of nonhealing skin ulcers.