Background: –. Wound healing is a dynamic biological process and if it goes wary, ends up with keloids whose treatment is complex and controversial. Objectives: The aim  is to study the efficacy of triple therapy–combination of Intra–lesional triamcinolone injections, Surgical excision and  silicone gel sheets in the management of keloids and their outcome in patients at Gandhi Hospital, Secunderabad between 2015 to 2017. Methods:– 20 patients belonging to both sexes, age between 5 to 60 years were included and patients with comorbid conditions were excluded from the study.  Results: 40% of patients belonged to the age group of 21–30 years 90% were females and the most common site of keloid was ear in 90% of cases. Conclusion: –Triple therapy for Keloids is an effective treatment protocol with 5% recurrence and post op POSAS Score less than 15