62 year old patient with history of obesity (2010: 125kg / 164cm, 2011: 65kg / 164cm.). In addition psychiatric, orthopedic and neurosurgical history. Shown here is professional pressure ulcer prevention and treatment. Due to excess skin after weight loss and wrinkles this presents a challenge. During the day the patient sits in an electric wheelchair, in the afternoon the chair is levelled horizontally to relieve the tissue from pressure. Superficial ulcerations are treated with a dry dressing. Since the patient suffers from urinary incontinence the ulcers are treated with a Suprasorb dressing.