Purpose: Split-thickness skin grafting is a common surgical technique utilized by most plastic surgeons in treating patients undergoing burn reconstructive surgeries. When using thick split-thickness skin grafts, an improvement in function is often traded for increased donor site morbidity with prolonged healing time, pain, and suboptimal graft harvest site cosmesis. We describe our preferred method of managing the donor site of thick split-thickness skin grafts with immediate overgrafting with an adjacent thin split-thickness skin graft. Patients and Methods: This study is a retrospective analysis of 10 patients treated with overgrafting at our institution. The technique of overgrafting involved covering a 0.015-0.018 inch donor site with a 0.005 inch thin graft (Fig 1,2). Results: Clinical follow-up of patients and chart review revealed an accelerated healing time, early cessation of donor site pain, and avoidance of significant donor site scarring. Conclusion: The improved function and cosmesis of thick split-thickness skin grafts proves to be valuable in burn reconstructive surgery. The experience of thick split-thickness donor site overgrafting with thin split-thickness skin grafts may reduce the time to re-epithelialization. This would effectively decrease donor site pain and healing time along with providing an improved cosmetic donor site appearance.