Complex wounds require careful management and can present healthcare professionals with big challenges when trying to salvage limbs. Larval debridement therapy is a well established, highly selective method of both wound debridement and treatment of complex wounds. This article follows the case of a complex dehisced surgical wound where larval debridement therapy was utilised over a 2-week period and followed up with the application of topical negative pressure therapy. The aim of the treatment was not only to aid healing of the wound but also to prevent further limb amputation.