In today’s healthcare environment it is important to focus on clinical, financial and practical solutions to treating patients who have wounds that are located in challenging anatomical areas such as the neck, trachea, sternum, axilla, elbow, hands, peristomal region, breast, inner thigh, knee, forefoot and heels. This article discusses the problems of dealing with complex chronic wounds and the author reviews the versatility of a soft silicone bordered heel dressing which, through its ability to conform without the need for a secondary dressing, can be applied to a variety of difficult anatomical locations.