Pigmentation could either be due to sun exposure, post inflammation or due to underlying systemic problems. Melasma, Freckles, Lentigens could occur post sun exposure. Post inflammation in the skin hyperpigmentation can present like post acne, chicken pox, cut or injury to the skin. Some of the other causes of pigmentation are Lichen Planus, Frictional melanosis, Acanthosis nigricans ,Erythema Dyschromicum Perstans (EDP), Riehl’s melanosis, Erythropoiesis and Poikiloderma of Civatte. Treatment is planned only after knowing the cause.