Treatment of a case of Fournier’s gangrene is a surgical emer- gency. Initial management involves intravenous fluid resusci- tation and early use of broad spectrum intravenous antibiotics. Urgent wide surgical excision of the dead and infected tissue is essential and the extent of the internal necrosis is typically much greater than the external appearances suggest, such that extensive debridement is often necessary. Urinary and faecal diversion may be necessary. Supportive care is essential, because the patients often become severely septic. Early review of the wounds is helpful to confirm that all dead tissue has been removed, and when the infection has been controlled, vacuum-assisted dressing is helpful, if it is available. If the patient survives the acute episode, skin graft- ing is often necessary. Despite best therapy, mortality rates as high as 50% are often reported