Abstract. The digit ratio is a putative biomarker for evaluating the organizational effects of prenatal testosterone. This evaluation was performed by relating postnatal traits to digit ratio. We examined the relationship among digit ratio, depression, and positive/negative affect. A total of 335 university students who completed a set of questionnaires had both of their hands scanned, and the digit ratios were measured using a computer program. All the studied variables were insignificantly related to the right-hand digit ratio. The variables remained insignificant even when the data for males and females were analyzed separately. Furthermore, a meta-analysis, including a previous study combined with current data, showed no association between digit ratio and depression, although the current sample size of 355 could detect r = 0.2 at α = 0.05, and β = 0.2. The lack of association between digit ratio and depression was common, and the present results corroborated those of previous studies, which showed no association between digit ratio and depression. This nil result would be least likely attributable to an inadequate sample size, considering that the current sample size of 335 allowed the detection of r = 0.2 at α = 0.05 and β = 0.2, nor idiosyncratic results, given that the meta-analysis with previous relevant studies also concluded the same results. We extensively reviewed the relevant literature and evaluated the use of digit ratio as a biomarker for prenatal testosterone exposure in seven different perspectives. Nearly all the analysis showed the problems of using digit ratio as a biomarker for evaluating the organizational effect of prenatal hormones.