Background: A completely matured skin grafted site can always be distinguished from the surrounding normal/ scarred skin. Even an excellently applied and matured graft is also a ‘scar’ in the eyes of the patient. A number of scales have been developed to assess the quality of post-operative scars which can range from almost invisible to immensely unaesthetic. However, the aesthetic aspects of skin grafts in the long run have not been studied. VSS is one of the most recognized scar assessment scales and has been widely used in literature for outcome measures. In presentstudy the patient and observer scar assessment scale (POSAS) were used to assess the graft recipient site in the long run. Objectives: To study the Graft Recipient Site Based on the Patient and Observer Scar Assessment Scale (POSAS). Material and Methods: This cross-sectional observational study conducted in the Department of Burns and Plastic Surgery, Lok Nayak Hospital and associated Maulana Azad Medical College, New Delhi among the patients who had undergone split thickness skin grafts for various indications more than five years ago. The total duration of the study was 12 months. After taking informed consent, objective findings on clinical examination were recorded in the proforma. Proforma includes the POSAS scale. Hypertrophy was accurately measured using Castroviejo calipers. Results:The increased distance of two-point discrimination as compared to normal was from 1.25 times (minimum) to 2.33 times (maximum). In thirty-one patients it was equal in the two areas. The POSAS score of the patients ranged from 11 to 31 with a mean score of 18. The POSAS score ranges from 11 (best or normal) to 110 (worst). This shows that in the long-term split skin grafts give very good results and are reasonably well acceptable to the patients. Conclusion: There is a good amount of sensory recovery in the split skin graft in most of the patients and initial hyperpigmentation of the split skin graft also resolves to a large extent.