Dr. Uldis Bite, a Professor of Plastic Surgery at Mayo Clinic in Rochester, MN, explains his article appearing in the August 2014 issue of Mayo Clinic Proceedings regarding digital images. He notes the essential importance of images in clinical documentation and the potential for misuse by either innocent or fraudulent manipulation, and suggests possible preventive steps for medical journals to ensure the integrity of their digital content. Available at: http://tinyurl.com/ndpcg9g