Pinch grafts were initially described in the late nineteenth century as a technique that could be utilized, under selected conditions, to promote wound healing. This procedure remains a viable component of the podiatric surgical armamentarium. There has been relatively little information on this subject in the literature: podiatric, orthopedic, or general medical, during the past several decades. A review of the historic development of the procedure, and case presentations, for examples of current applications, are presented.