Although quality photographic equipment is often easily available and automatic cameras appear to enable people to take good pictures, many considerations need to be taken into account when taking photographs of wounds in a clinical setting. Sylvie Hampton and Anita Kilroy-Findley look at the overall issues involved when taking pictures of wounds. From device and storage, patient consent and data protection, to anatomical location, distances and measurements, this article provides an excellent overview of the issues everyone should be aware of before taking a photographic record. If done correctly, a picture is a powerful tool and can be worth one thousand words.