Reptiles are being presented more frequently to veterinarians because they increase in popularity. As with domestic pets, dermatologic conditions are common findings in captive reptiles and can be associated with husbandry and nutritional deficiencies, infectious diseases, and neoplasia. To have success with these cases, it is important to take a stepwise and strategic approach, starting with a thorough anamnesis and physical examination. From there, diagnostic tests should be pursued, with an understanding of the limitations of each diagnostic test. By understanding these limitations, the veterinary scientist can determine the best path to a diagnosis and treatment for the case.