Scalp avulsions of various origin are frequently seen, owing to rapid industrialization and the increased incidence of traffic accidents. Cases (20) were treated in the last 5 yr. The victims were predominantly young females. With intact pericranium, split-skin grafting remains the treatment of choice. In the presence of bare bone, local flap is preferred, if feasible. If not, the outer table of the skull is chiseled out or multiple drilling is done through it to accelerate the formation of granulation tissue. Subsequently, this is covered by split-skin grafting. Of course, the grafts do not grow hair and the patients need to wear wigs for total psychological and functional rehabilitation.