Puncture wounds are common and challenging problems facing the physician. In general, puncture wounds can be classified into two distinct types. In one type a child usually sustains a puncture wound of the foot. The other group of puncture wounds occurs among hospital employees. These seemingly innocuous injuries may have serious sequelae that can be averted by prompt appropriate care of the wound. The fundamental trends of treatment of puncture wounds include cleansing the wound, debridement of any necrotic or devitalized tissue, and appropriate immunoprophylaxis.