Technology continues to revolutionize thepracticeofdermatology, and the past decades have seen a paradigm shift in theway dermatologists practicemedicineandsurgery,deliver care topatients, andkeepabreast of developments in our field. GoogleGlass (Google Inc) is a recently developed, first-in-class wearable computer that includes an optical display, camera, microphone, bone-conduction speaker, touchpad, gyroscope, and accelerometer. I have used the Google Glass device in the context of general and surgical dermatology. Applications in the clinical dermatology setting include lesional and histopathological photography, telemedicine, education, research, and consultation. Live streamingmayalsobeused for teledermatology consultations, although store-and-forward approaches are feasible aswell. Applications in the surgical setting include perioperative photography, documentationofMohsstages,Mohsspecimenorientation,patienteducation regarding tumor and defect size and location, and reconstructive options. An advantage of this technology is the ability to activate the device in a hands-free fashion. In the surgical setting, this permits the dermatologist to record video or still photographs while maintaining a sterile field, and in the clinical setting, it permits recording photographs without the intrusion of using a camera, as photographsmay be taken with a wink of the right eye. Live streaming of procedures may be used for medical and surgical educationformedical students, residents, fellows,andcolleagues,aswell as for patient education. Thedermatologist is also able to streamaphysician’s-eye view of the skin examination to a monitor in the patient’s room, permitting easy visualization of the back and other difficult-tosee areas. For some patients, this may also be a useful adjunct in explaining and demonstrating surgical procedures, allowing patients to watch and record their procedures. There are some pitfalls to this technology, and the central concern relates toprivacy. Explaininghowthedevice records andoutliningwhat will andwill not be recordedhelps a great dealwith reassuringpatients, and, in my experience, there was no significant resistance on the part of patients to including the device in the context of their care. Moreover, given the ubiquity of smartphones and closed-circuit television monitors, the public has become increasingly accustomed to the presence of recording devices. Finally, it is important to note that the current version of the software defaults to synchronizing data to Google serverswhen the device is both plugged in and within Wi-Fi range; therefore, protected health information and patient identifiers should not be recorded unless the Wi-Fi is disabledprior to charging. Future iterations of thedevice, especially those designed for medical use, will likely include specialized encrypted technologies to obviate privacy concerns andpermit easy integration with electronic medical records.