This invention relates to a novel wound dressing design. Particularly, this invention relates to a wound dressing which incorporates multiple distinct layers, each providing useful features and together providing a novel method of managing a variety of wound types. Moist healing, exudate management, ease of use and patient comfort are provided. In a preferred embodiment, the new dressing comprises a thin layer of gel continuously coated onto a thin film material which is laminated to an apertured mesh. Preferably, the gel coated thin film material is fenestrated or perforated. This construction improves dressing fixation, provides a semi-occlusive wound environment while simultaneously managing copious amounts of exudate.