Objective Accuracy wound assessment was the basis of the efficient diagnosis and treatment the wound.The aim of this research was to study the consistency of the wounds assessment at the bedside and digital photographs assessment of the wounds.Methods An international ICW wound therapist in a hospital of Sichuan province assessed thirty-seven wounds at the bedside with Bates-Jensen wound assessment tool(BWAT).At the same time her assistant took photographs of the wounds.Four months later,the international ICW wound therapist assessed digital photographs of the wounds that had been changed the order using BWAT.Kappa test was used to analyze both consistency.Result The consistency of BWAT score between the bedside assessment and digital photographs assessment of the was 0.363.Consistency of wound size was 0.411.Consistency of undermining was 0.494.Consistency of epithelialization was 0.585.The other items of consistency were less than 0.4.Conclusion The findings of this study suggest that digital photographs may not provide a sufficiently accurate platform for characterizing BWAT wound characteristics.In order to improve the accuracy of wound assessment,its better to document them with photographs and words.