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Surgical skin markers play a pivotal role in dermatological surgery, enabling the surgeon to plan a procedure prior to distortion from local anaesthetic infiltration or patient positioning. Our aim was to identify the strongest performing surgical marker for visibility and line width. A series of initial pilot studies were undertaken to determine a marking protocol. The length of drying time needed to prevent smudging after cleansing with an isopropyl alcohol 70% steret was 30 seconds. This article is protected by copyright. All rights r