Repair of a defect in the human skin is a highly orchestrated physiological process involving numerous factors that act in a temporally resolved synergistic manner to re-establish barrier function by regenerating new skin. The inducible expression and repression of genes represents a key component of this process. MicroRNAs (miRNAs) are powerful regulators of gene expression yet their significance in tissue repair remains largely unknown. Recent estimates suggest that the number of unique miRNA genes in humans exceeds 1000, and may be as high as 20,000. miRNAs are functionally versatile, with the capacity to specifically inhibit translation initiation or elongation, as well as, induce mRNA destabilization, through predominantly targeting the 3'-untranslated regions of mRNA. In this chapter, we address the potential significance of miRNA in cutaneous wound healing. The following specific areas related to cutaneous wound healing are addressed: skin structure and function, stem cell biology, infection, immunity, inflammation, angiogenesis and extracellular matrix. Furthermore, we discuss opportunities for miRNA-based therapeutics in addressing chronic wounds as a major public health concern in the United States and globally.