The wound healing and antimicrobial properties of maggots are well known. Maggot debridement therapy has been used for the treatment of various conditions. For maggot debridement therapy, the larvae of the blowfly are applied over necrotic or nonhealing wounds. We used maggot debridement therapy with the larvae ofPhaenicia sericatafor limb salvage after bilateral lower extremity fourth-degree burns. (J Burn Care Rehabil 2000;21:254-7)