Loupes are commonly used when high demands of visual performance are needed. This article will review the available information on who should use loupes, and provide a guide on when and how to use them. Purchasing this piece of equipment should not yield to a pressure to be 'equipped' for certain procedures, nor should it copy other surgeon's choices blindly. 1 Magnification has revolutionized the operating theatre. Even for macroscopic procedures, it allows appreciation of subtle tissue differences, permits a sharper navigation within the anatomical borders and a more precise instrument positioning.According to Professor WA Morrison, 'using the microscope is not essentially different from turning on the theatre lights; if you can see what you are doing, you have a better chance of doing it well'. 2 The use of magnification dramatically improves wound care, allowing precise debridement and clear identification of anatomical structures and foreign bodies. 3 This is equally relevant to surgeons and emergency medicine trainees performing primary or secondary PERSPECTIVES ANZJSurg.com