Solid organ transplantation is increasing annually in the U.K.[1] Patients on long-term immunosuppression are at a high risk of developing keratinocyte skin cancer and, in some racial groups, Kaposi sarcoma. Four patients were excluded (photographs unavailable because of computer malware attack, I n i = 3; patient declined clinical assessment, I n i = 1). In patients where a final diagnosis was confirmed after further diagnostic tests ( I n i = 16), these were concordant with the teledermatology diagnosis in 13/16 (81%) of cases and 9/16 (56%) in letter-only referrals. [Extracted from the article]