Some patients experience hard-to-heal wounds that fail to improve despite standard care. Copper-impregnated dressings can offer both antimicrobial activity and support for wound healing processes. This paper explores an evaluation undertaken by the author of the effect of copper dressings on wound healing, pain reduction, and quality of life in patients with hard-to-heal wounds who had previously been unresponsive to silver-based dressings. Four patients with chronic wounds (six to nine months’ duration) were treated with silver dressings for six to nine weeks when hospitalised with no significant improvement. Their care plan was then changed to copper dressings for three to four weeks. Wound size and pain were assessed at baseline, week one and four. A cost analysis was also performed. All patients showed ≥50% wound size reduction within seven days, with full closure by week four. Mean pain scores dropped significantly from 4.75 to 0.25. Improved mobility and daily function were also reported. Treatment costs fell from £2,606 to £365 on average — an 86% reduction. The copper dressing used enhanced healing, lessened pain, improved mobility, shortened treatment time and reduced costs in these four hard-to-heal wounds which had been unresponsive to conventional care.