Epidermolysis bullosa (EB) is a devastating genetic skin disease typified by a plethora of different phenotypes and ranking from severe, early lethal, to mild localized forms. Although there is no cure for EB, recent progress in pharmacology and molecular and cellular biology is boosting the development of new advanced therapeutic strategies. Here we will focus on two main categories of such therapies: (1) those aimed at controlling inflammation and inducing reepithelialization of the wounds, and (2) those, perhaps more challenging and ambitious, that aim to permanently regenerate a fully functional epidermis, which requires targeting of epidermal stem cells. In both cases, the genetic variants underlying the different EB forms and factors, such as genetic background, modifier genes, comorbidities, and lifestyle, all of which impinge on EB genotype-phenotype correlation, need to be defined.I nherited epidermolysis bullosa (EB) is characterized by recurrent blistering of stratified epithelia. EB is caused by more than 1000 mutations in at least 16 structural genes encoding proteins forming hemidesmosomes and anchoring fibrils, which are essential for the integrity of the epidermal-dermal junction (Has et al. 2020a). Blisters arise spontaneously or upon minimal trauma as the result of the fragility of skin and mucous membranes. Common features of many EB forms include damage of ocular surface, upper airways, oral mucosa and gastrointestinal and renal systems, as well as hair, nail, and enamel defects (Bardhan et al. 2020;Has et al. 2020a). Incidence and prevalence of EB in the United States are 11.1 per one million people and 19.6 per one million live births, respectively. Similar values have been reported in Europe (Fine 2010;Has et al. 2020a). EB affects individuals from all ethnic origins regardless of gender and displays either dominant or recessive patterns of inheritance. EB phenotypes range from mild, localized blistering to massive blistering, erosions and chronic wounds. Severe EB forms can be early lethal and generalized EB frequently leads to aggressive squamous cell carcinoma (SCC) (Condorelli et al. 2019;Bardhan et al. 2020).