A prospective randomized study was conducted to assess efficacy of two modalities of treatment for second degree superficial burns, namely silver sulphadiazine and nanocrystalline silver dressing with respect to duration of healing, patient comfort and cost. Methods and Material: All patients presenting to Plastic Surgery department with second degree superficial burns less than 30% from 1st June 2014 to 31st May 2016 were included in the study. Total 130 patients with complete data were evaluated. Patients were followed for an average period of 3 months (Range 3 months to 2 yrs). Results: Maximum incidence of superficial burns is in 0 –10 years age group. Among superficial burns scalds is the commonest aetiology. Healing is faster in patients treated with silver sulphadiazine. Majority of nanocrystalline silver dressing patients are managed as outpatients and frequency of dressing change is less. Pain score is more in nanocrystalline silver dressing group but difference among two groups is not statistically significant. Conclusions: This study does not suggest superiority of either of the two groups. Faster wound healing & less pain perception is seen with silver sulphadiazine group. Nanocrystalline silver group needs less frequent dressing change, reducing the morbidity and lesser hospital admission. Wound healing outcome are comparable in both groups