Soft tissue injuries (STIs) have a high incidence in trauma patients; however, literature available on this is limited. Data was acquired retrospectively from January 2015 to December 2019 from a level I trauma center in urban India. A total of 89,929 patients with STIs required intervention in the emergency department (ED). Out of 7349 inpatients, 3620 required intervention for STIs. Overall, 1750 patients required debridement, 1056 split-thickness skin grafts, 594 debridement with skin grafts, 209 flaps, 10 tissue expanders and 1 cadaveric skin transplant was done. 806 patients required amputation. 14 patients with STIs had mortality. A dedicated wound management team is the need of the hour in trauma centres.