A port guard dressing for use in connection with skin of a patient and through which a percutaneous line can pass includes an upper component, a lower component adapted to contact the skin, and at least one intermediate component positioned between the upper component and the lower component. The at least one intermediate component is attached to a lower surface of the upper component and includes or is formed from a material that is more rigid than the upper component. The material of the of the upper component intermediate component may also be more rigid than the lower component.