Dermoscopy is a non-invasive diagnostic tool used to examine skin lesions, significantly enhancing the accuracy of diagnosis, particularly for pigmented lesions. This article provides updates on key diagnostic algorithms of pigmented lesions over the past decade, such as the ABCDE rule, 7-point checklist, and the ASAP algorithm. It also highlights new diagnostic features, including patterns specific to malignant melanoma, melanocytic nevi, and pigmented basal cell carcinoma.