A great deal of advice around maintaining health is focused on nutrition and exercise – in particular what to do and what not to do. Little focus is on the importance of skin care. Just like the heart and lungs, the skin is an organ of the body. In fact it is the largest of all of the organs. It has many functions, many of which support us to maintain health and wellbeing through a complex eco system of the microbiome where it provides protections against pathogens, supports vitamin synthesis, metabolism and immune development.1 In pregnancy, the body’s organs undergo a myriad of physiological changes affecting each system differently.2 There are three categories of skin conditions in pregnancy, benign hormone-related changes such as hyperpigmentation and striae gravidarum, pre-existing skin conditions, such as acne and psoriasis, and pregnancy-specific disorders such as atopic eruption of pregnancy.3 Each will require different treatment or care to minimise discomfort or irritation.