This case study describes the problems encountered by a patient while waiting for his necrotic fingertip to autoamputate. This mechanism usually takes place in a dry wound environment, however in the patient’s case the necrosis had started to soften naturally, resulting in malodour, considerable pain and slough. The original dressing regimen had to be adapted and Algivon Plus Ribbon was selected as the dressing of choice. The multi-factorial action of this 100% medical-grade manuka honey dressing includes deodorisation, pain management and debridement, all of which dealt with the patient’s problems effectively.