BACKGROUND: Post burn upper limb contractures is still a common complication, in spite of better treatment available (Debridement, skin substitute and early skin grafting) and early initiation of physiotherapy procedures. In view of broad range of surgical procedures performed at our centre Gandhi Medical College, Plastic Surgery Department Bhopal, we considered it worthwhile to review post-burn contractures of the upper limb, which are amongst the most frequent sequelae we treat. This has been an object of observation also in the past, and we will demonstrate that there has been a consistent increasing trend in the number of patients presenting such burns sequelae, a finding that has a sound explanation.