As the first line of defense to protect the human body, skin is susceptible to varying degrees of injury from external forces, heat, disease, and chemical corrosion. Wound dressings constructed based on tissue engineering principles can effectively improve clinical tissue repair, accelerate the wound repair process, relieve patient pain, and reduce scar formation. Silk fibroin, a natural polymer with the advantages of abundant sources, excellent mechanical properties, degradability, and good biocompatibility, is especially favored by researchers in the field of wound repair. In recent years, based on the extensive research on the application of silk fibroin in skin wound repair, the biological properties of silk fibroin for wound repair have been gradually elucidated and become an important reference to guide the design and construction of wound repair materials. Through the design of structure and properties, drug and biological factor loading, and stem cell compounding of silk fibroin dressings, the functions of silk fibroin dressings to prevent wound infection, promote wound healing, and reduce scar regeneration have been realized. Wound healing is a continuous and slow process that is divided into four main stages: hemostasis, inflammation, proliferation and remodeling. Silk fibroin is involved in almost every step of wound healing. Silk fibroin can achieve hemostasis by dissolution or adhesion to the wound and cause a mild inflammatory response during the initial phase of implantation, which facilitates the destruction of pathogens present at the site of injury and accelerates wound repair. Silk fibroin can also promote the expression of fibroblast fibronectin and vascular endothelial growth factor, activate NF-κB signaling pathway, promote vascular neovascularization, develop granulation tissue, and epithelization. With the further development and research on silk fibroin, the functional properties of silk fibroin materials related to wound repair have been gradually elucidated, which has become an important clue for the design and construction of silk fibroin biomaterials and accelerated the application of silk fibroin in wound repair. Silk fibroin has good plasticity and can be processed into films, porous sponges, hydrogels and nanofibers to better meet the needs of various wound repairs. In recent years, silk fibroin dressings have been successfully developed and approved for clinical wound repair in China. In order to accelerate wound healing and enhance the effect of wound repair, important progress has been made in the research of designing and optimizing the structural properties of silk protein materials, or combining them with active factors for wound repair. The lack of bioactivity of pure silk fibroin limits its application in biomedical fields, and better repair results can be achieved through designing and constructing specific structure. For example, the anisotropic structures of scaffolds can improve cell migration efficiency, promote inward tissue growth, epidermal renewal, and faster wound closure. Compounding with natural or synthetic polymers can give silk fibroin materials more potential. Keratin, polyvinyl alcohol, sodium alginate, aloe vera gel, collagen, and hyaluronic acid would all promote wound healing when compounded with silk. Wound healing is a complex and dynamic process involving the participation and regulation of multiple growth factors. The silk fibroin material loaded with growth factors can endow it with more biological activity like promoting cell proliferation and migration, and protein and fiber deposition in the extracellular matrix, thus achieving a better wound repair effect. In addition, silk fibroin is also an excellent drug carrier, and can maintain drug activity and achieve precise drug delivery. The better wound healing can be achieved by loading drugs. For instance, silk fibroin hydrogels loaded with deferoxamine (DFO) can promote cell migration and tissue inward growth, and reduce the cytotoxicity of drugs to accelerate the process of wound healing. To promote better wound healing, silk protein is also usually combined with stem cells to regulate the immune response and cellular microenvironment, so as to promote the expression of wound healing-related genes, and accelerate wound healing and regeneration. With the advancement of science and technology, the development of silk fibroin dressings has become more diversified. The emergence of 3D bioprinting technology, food-breeding method and microneedle dressing technology is bound to bring new insights to the development of new dressings and provide new ideas for the development of functional and active silk protein dressings. With the continuous progress of science and technology, people have deepened their research on the biological properties of silk fibroin, which can promote cell adhesion, re-epithelialization and hemostasis, reduce the immune response, accelerate the process of wound repair, and play an important role in promoting wound healing. As a biomaterial, silk fibroin has been widely researched and applied. Further functionalization of silk fibroin materials through the structural design and performance optimization of silk fibroin itself and the combined use of other bioactive molecules such as growth factors, drugs and stem cells will enhance the efficacy of silk protein dressings and open up more possibilities for their application in skin wound repair, accelerating the research process of silk protein biomaterials in clinical application. [ABSTRACT FROM AUTHOR]