Dermatologists, who have assets far in excess of most of the people of the world, have the opportunity to contribute globally to the forces of social progress. They should do so with vigor and optimism. The term the developing world replaced the less acceptable third world, which implied third rate and was less optimistic. The term transitional world is also used to illustrate the purgatory-like stage in which a country is regarded as developed in most respects and having potential, but it has a little way to go to complete the process. Enthusiastic leadership by dermatologists who may be included among those who represent the upper 1% of intelligence, education, and property, can help to achieve the transition. This transition needs leadership by the dermatology profession's elected bodies, societies, and associations in the developed world.