Nails are primarily for protection, scratching and picking up small objects, but when looked upon carefully they can be a mirror to various chronic dermatological disorders. Various dermatological disorders with nail involvement are psoriasis, eczema, lichen planus, SLE, fungal infection, pemphigus, bacterial infections, etc. Nails can also be involved in renal, pulmonary or cardiac disorders. So the nail examination, treatments and surgeries are equally important whenever required.