Background: The benefit of utilizing smart technologies for medical photography is apparent, however its safety concerns related to legal rights of practitioners and patients warrant attention. Objectives: This study aimed to evaluate the use of medical photography among dermatologists and plastic surgeons in Saudi Arabia. Methods: This cross-sectional study was conducted on 63 physicians (43 dermatologists, 20 plastic surgeons) using a 36-item multiple choice questionnaire on the use of medical photography. Data were analyzed using descriptive statistics, and two-tailed, Chi-square, and Exact tests. Results: Medical photography was used by most of dermatologists (90.7%) and plastic surgeons (95%). More than three-fourths of them agreed that medical photography aids in enhancing clinical effectiveness and standard of care. Photography was done mostly to track disease progression for dermatologists (87.2%), and for research and/or future publications for plastic surgeons (89.5%). The primary reason for exchange of photographs via email or text messages was for seeking second opinion and further recommendations from colleagues. Consent from patients before photographing was obtained by majority of both groups. 84.2% of plastic surgeons as compared to 59% of dermatologists had good awareness and adherence to workplace medical photography protocol (P=0.055). Conclusion: Medical photography is commonly used both in clinical and academic practices for diagnostic, treatment and teaching purposes. Its value in enhancing medical care is agreed upon and the existence of workplace medical photography protocol is important. Consent from patients must be always acquired and stressed upon even with the absence of clear grounding regulations and protocols.