In the present study hypertrophic and keloid scars are termed pathological scars. They develop as a result of the woundhealing process and are caused by mechanical, chemical, age-related, genetic and hormonal factors. Pathological scars impact the physical well-being. They reduce motility and cause itching, pain and the feeling of tension. Affected individuals suffer from serious, psychosocial consequences. Social interaction, engagement in leisure activities and the exercise of a profession are restricted. Concomitant as well as exclusively non-invasive methods for the reduction and prevention of pathological scars are deemed to be key issues in this area. Non-invasive methods help to address and support changes in body image and aid patients in preserving their autonomy. Adequate methods for scar reduction include the application of wound closure strips, compression clothing, silicone materials, nonsilicone materials, tissue adhesives and massage therapy. The nursing profession assumes a central role in patient's well-being and subsequently is a pivotal part in the counseling and treatment of both developing and existing pathological scars. The assessment of pathological scars is based on scales and patient interviews. Preventive interventions and measures in case of existing pathological scars are tailored to individual client needs. Additionally, interventions are explained by nurses and subsequently implemented by the clients. At agreed sessions, the scar tissue and appearance are assessed by the consultant nurse.