Women prisoners comprise 5% of the prison population and are far more likely to inflict harm directly on their bodies than women in the community or male prisoners. Their self-harm challenges the criminal justice system, not least because it may be life threatening and is a predictor of an inflated risk of suicide. Detailed studies of self-harm in prison populations are few, but recent research found that cutting and scratching were the most frequent self-harming methods and, particularly among women in prison, self-strangulation was common, followed by hanging (Hawton et al. 2013). The Hawton group also showed that rates of self-harm by women prisoners are more than ten times higher than among male prisoners (Hawton et al. 2013). Women prisoners also appear to have suffered higher levels of prior psychiatric contacts, alcohol and drug misuse, physical and sexual abuse than their male counterparts (Ministry of Justice, 2012a; 2012b). Healthcare services have significantly improved the management of acute self-harm crises in the community and prison service, but there has been little focus on the recovery from self-harm and those who have to live with the scars that are left behind. The authors argue that female prisoners with self-inflicted scarring may experience psychological distress owing to perceived disfigurement. This can disturb quality of life and capacity to participate in activities such as work and social events in the prison environment and after release. The authors suggest that for those female prisoners with permanent or chronic disfigurement from self-harm, the use of medical skin camouflage can help them to adjust to