The skin is acknowledged as the biggest organ, covering the exterior of the body and serving as a physical barrier. The integumentary system is made up of three layers of tissue: the epidermis, dermis, and hypodermis. For transplantation, epidermal cell cultures have been around for a while. The epidermal stem cells can proliferate and self-renew in a manner that allows for rapid healing since they are unipotent, meaning they can only produce one type of cell. In therapeutic terms, cultured keratinocytes have been described as an autologous cell-based therapy that provides a source of autologous tissue, reducing the need for large donor sites and minimizing the risk of immune rejection. This review explores the composition and functioning of the skin’s extracellular matrix, along with strategies to incorporate ECM components into the cell culture techniques. Rebuilding skin flaws without consideration for side effects is skin grafting. The tissue lacks its circulatory supply and must receive it from the bed in which it is inserted. The skin cells have contributed to developing skin graft and tissue engineering approaches for repairing damaged skin. Similar to grafting, the skin graft is divided into sections based on the quantity of dermis involved: split-thickness skin and full-thickness skin. Transplanting autologous keratinocytes is an alternative to autologous skin grafting. In the wound bed, epidermal stem cells encourage angiogenesis. After invading the fibrin wound clot, angiogenic capillary sprouts form a microvascular network throughout the granulation tissue in a few days. In this article, authors will review the current methods and application of skin cell culture for transplantation including different cell sources, culture conditions, and transplantation techniques. The future direction of this approach is in the context of regenerative medicine and tissue engineering.