The lack of an accepted method of accurate and objective measurement of wound dimensions is a major obstacle to the assessment of effective wound management regimes. This paper addresses the problems associated with wound measurements and introduces a new instrument based on the principle of coded structured light. The instrument projects a sequence of parallel stripes of light onto the surface of the lesion. These patterns are observed by a video camera which is linked to a computer system where the images can be stored and processed. Using the positions of the focal points of the camera and the stripe projector, the computer calculates a three dimensional map of the observed scene by triangulation. This map is then used to reconstruct the original, healthy skin surface by cubic spline interpolation. The area of the reconstructed surface is the area of the wound. Its volume is sandwiched between the measured and the reconstructed surface. The system also calculates the depth and the circumference of the wound. The instrument measures the volume of the wound with a precision of about 5 per cent provided that the ratio of volume to area is greater than 4 mm.