Background: Silver dressings are now widely used in clinical practice where use varies according to wound and formulation, however, there remains a lack of expertise and knowledge regarding appropriate use of silver dressings, raising the question whether their use is guided by evidence or tradition.[1] Purpose: This study evaluates the present evidence on the clinical efficacy, risks, antimicrobial resistance and clinical outcomes of silver dressings. Method: Academic databases Google Scholar and PubMed were used to conduct a comprehensive literature search with keywords silver, dressings, protocol, guidelines, therapeutic, and risks. Thirty of the most relevant studies were analysed. Conclusion: Research indicates use of silver dressings depend on both the type of wound and silver formulation. Positive outcomes have been demonstrated with nanocrystalline silver and silver nanogels in burns and chronic wounds, resulting in faster healing and reduced rates of infection.[2] However, no benefit was found in using silver dressings in diabetic ulcers and paediatric burn injuries.[1] While safety concerns remain limited, the potential for delayed healing and cytotoxicity must be considered. Overall, silver dressings should be used purposefully, in a formulation-specific manner, with a clear indication based on wound type, rather than according to blanket protocols. References 1.Duncan, A., et al (2025). Silver Confers No Additional Benefit to Re-Epithelialization of Pediatric Partial Thickness Burns: Results of a Randomized Controlled Trial. Plastic and Reconstructive Surgery, 10:p1097 2.Wu, J., et al (2023) Effect of silver‐containing hydrofiber dressing on burn wound healing: A meta‐analysis and systematic review. Journal of Cosmetic Dermatology, 22(5),p 1685-1691