Melanoma is the most fatal of all skin cancers, and its incidence continues to rise in the United States. Dedicated pigmented lesion clinics (PLCs) offer services that appeal to patients with melanoma, including total body skin examinations, total body digital photography, clinical trials, and multidisciplinary approaches. This retrospective medical record review by Vickery et al reveals that 14.9% of patient visits to a PLC were more frequent than the recommended follow-up schedule. More patients are being diagnosed with melanoma every day, and this current care model of allowing extra visits may not be sustainable in the long-term. Hybrid approaches may combat this supply-demand discrepancy.