The surgical modalities for vitiligo treatment are :

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• Miniature punch grafting.

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• Suction blister grafting.

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• Thin split thickness skin grafting.

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• Autologous Noncultured epidermal cell suspensions.

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• Cultured melanocyte suspensions or sheets.

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Depending on the type, extent, and duration of vitiligo, conventional medical therapies such as topical and systemic corticosteroids, topical immunomodulators, and phototherapy are not always successful, and repigmentation is often incomplete.

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Vitiliginous lesions occurring on sites such as lips, acral areas, nipples, and genitals are particularly resistant to medical treatment. This has led to the evolution of various surgical options to treat recalcitrant stable lesions.

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Principle of surgical treatment in vitiligo is to achieve cosmetically acceptable repigmentation of the vitiligo areas by transplantation of autologous melanocytes from the unaffected pigmented skin to the affectedskin. It is indicated for resistant stable vitiligo that does not show adequate response to medical therapy.