Crush injury debridement does not necessarily require skin grafting. Crush injury is a kind of injury caused by the body being squeezed, which will lead to the blood vessels, skin soft tissues, bones, nerves and other parts of the squeezed area to be damaged, and may even hurt the internal organs. Some patients with crush injuries may require debridement to remove harmful substances from the wound site in order to promote tissue repair of the damaged area. Skin grafting is a surgical treatment for skin defects. For patients with crush injuries, debridement and skin grafting are two kinds of treatments; debridement does not mean that skin grafting is necessary, but only in the case of serious skin defects that cannot be repaired on their own, skin grafting can be considered after correctly treating the wounds. In conclusion, the need for a skin graft after debridement of a crush injury depends on the individual’s condition, and the patient needs to be evaluated by a medical professional before an individualized treatment plan can be implemented. Individuals with crush injuries should seek medical attention as soon as possible.