A method of preparing an adhesive wound dressing, the dressing comprising a central portion and an edge portion, the method comprising the steps of providing a support layer, drawing the support layer into a mold and dispensing a portion of uncured adhesive over the mold, distributing the adhesive in the mold and removing excess adhesive. The adhesive is cured and the support layer is detached from the mold. The central portion is provided with a plurality of through-going holes and an absorbent pad is placed on the non-adhesive side of the central portion and finally a backing layer is laminated to the absorbent pad and the edge portion of the support layer.