This article reviews the current state and future directions of digital dermatopathology, highlighting the role of whole-slide imaging (WSI) and artificial intelligence (AI). WSI can improve diagnostic accuracy, facilitate remote consultation, and enhance trainee education through virtual slide platforms. AI tools, particularly deep learning and convolutional neural networks, aid in diagnosis, triage, and prognostication, with accuracy often comparable to expert pathologists. Challenges remain, including high implementation costs, variability in image quality, and consequently, biases in algorithm learning. Continued real-world validation, cost analysis, and physician involvement are essential for integration into clinical practice.