This chapter discusses about the skin, cartilage, and composite grafts. Skin and cartilage grafting is a useful reconstructive modality for the dermatologic surgeon. Sites in dermatologic surgery where grafts are most commonly used include the nasal tip and ala, ears, medial canthus, digits, and extremities. Generally, grafts are considered in areas where it is not possible to do a primary closure without significant distortion, where healing by secondary intention is likely to lead to poor cosmesis, when a patient cannot tolerate a larger reconstructive procedure, or for defects where the use of a flap is likely to violate aesthetic units and result in pincushioning or when a sufficient tissue reservoir does not exist. With careful planning and attention to detail, surgical reconstruction with cutaneous and cartilage grafts can have a successful outcome. Full-thickness skin grafts, split-thickness skin grafts, cartilage grafts, and composite grafts are different types of graft types, which are also covered in this chapter.