This article reviews the literature on quality of life of people with venous leg ulcers. Research indicates that, in most people, chronic ulceration is a continuous cycle of skin breakdown over a period of decades and is associated with impaired quality of life. Management of leg ulceration represents a major component of the community nursing workload, with community nurses spending approximately half of their time treating patients with leg ulcers. However, the complex psychological and social effects of ulceration on the patient are often overlooked as the nurse's main focus is on clinical aspects of wound care. This article identifies the importance of adopting a holistic approach to the care of patients with venous leg ulcers to improve outcomes and quality of life.