In 2007, I undertook a project looking at malignant melanoma and the foot. It came up as a clinical observation that many early lesions arising on the foot were not being recognised and or referred on in a timely manner for diagnosis and treatment, particularly when compared with melanoma arising elsewhere on the body. Working with Dr Katharine Acland, a dermatologist, at St Thomas’ Hospital in London (1, 2) the culmination of this work was the development and publication in