Thirty-two dermofasciectomies in 24 cases were reviewed with an average of thirteen years for follow-up. These were compared with the same patients followed-up ten years earlier. A marked increase in extension of the disease from 24% to 79% was noted. The recurrence rate has remained constant at 47% and only two recurrences were found under the skin graft. This procedure must, therefore, remain the operation of choice in the management of aggressive Dupuytren's disease.