Approximately 80 percent of the world's population is pigmented; even in the United States, current projections indicate that by mid-century the majority of the population will be non-Caucasian. US dermatologists are already seeing a significant shift in the makeup of their client population. Yet, despite this changing face of the American population, until now practicing dermatologists and students in training have been challenged by the lack of a comprehensive textbook on the diagnosis and treatment of pigmented skins.