What is a Granulating Wound?

Granulation describes the appearance of the red, bumpy tissue in the wound bed as the wound heals. This bumpy appearance is the visible tops of the new capillary loops as a new vascular supply develops to serve the newly forming tissue with oxygen and nutrients¹.  

Changes to the normal bumpy, moist and bright red granulation tissue can indicate underlying problems. If granulation tissue develops to the extent that it sits proud of the surrounding skin, this is known as hypergranulation, or overgranulation, tissue.

Treatment Aims

The aim of treatment should be to promote a warm, moist environment through the balanced control of exudate.


1. Dealey C (2012) The Care of Wounds. (4th edn). Wiley-Blackwell, Chichester