Dr. Rex Moulton-Barrett is a unique plastic surgeon who in addition to providing expert cosmetic surgery has helped me and many others who are wheelchair bound and bed bound with pressure sores to heal more quickly than by older or slow methods of bed rest and simple wound care. He uses a 2 step in hospital process which allowed me to heal quickly. First, he released my contracted hip and knee tendons which allowed me to put more even pressure on the buttocks, hips and thighs. It also allowed the nurses to turn me easily and without a great deal of discomfort. I was placed in full leg and padded splints to continue straightening my very contracted hips and knees. Dr. Moulton-Barrett told me that he learnt this surgery from the literature for children with cerebral palsy who are contracted from disuse and atrophy. During the same initial operation my pressure sore was cleaned to healthy tissue and wound treatments were started. Three days after surgery a sterile foam and vacuum machine was used to speed up the blood supply and then one week later the pressure sore was closed with a local muscle and skin. Dr. Moulton-Barrett used a special barbed suture under the skin which is very strong and dissolves after 1/2 a year. There were no sutures or staples to be removed and I healed without a problem. There was no difficulty positioning me face down in the operating room during this surgery because my legs could be straightened. Because my legs were nearly straight I was able to heal without uncomfortable full body bed turns. This meant less risk tearing my flap during those turns and the site of my previous pressure sore was protected against continued pressure injury.I thank Dr. Moulton-Barrett for his thoughtful, ingenious and kind way of caring for me.