Wound dressings including a skin contact layer and a cover layer removably adhered to the top surface of the skin contact layer are described. The skin contact layer includes a lower substrate extending around a central aperture and a lower adhesive. The lower substrate includes a top surface and a bottom surface opposite the top surface. The lower adhesive is disposed on the bottom surface of the lower substrate. The cover layer substantially covers the central aperture of the lower substrate, and includes an upper substrate and a backing layer. An upper adhesive is positioned between the top surface of the lower substrate and a bottom surface of the backing layer. In embodiments, the cover layer can be removed and changed while the skin contact layer remains adhered to the skin around a wound.
