The large health and financial impacts of skin cancer can be minimised through early detection • Concerns about the current unstructured approach to skin cancer early detection include variable quality of care, sociodemographic inequalities, excision of many benign lesions, overdiagnosis, gaps in workforce training, and health system inefficiencies • Australia is experiencing a changing landscape of skin cancer early detection, driven by increasing health system costs, advances in diagnostic technologies and artificial intelligence, validated riskstratification tools, and consumer-driven digital technologies