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Skin typing, as proposed by Fitzpatrick, has been used for estimating the initial dose in phototherapy. 1 However, several reports have questioned the reliability of the method. 2–4 It has been suggested that skin typing should not be the sole basis for starting UV-B phototherapy, and that determining the minimum erythema dose (MED) is a more reliable method of estimating the UV-B dosage. 5 There is little published data with respect to skin types and MED values in Arab skin. In this review, we present our experience on the subject with Bahraini patients.