As historical medical images go digital, scholars and archivists are being forced to weigh the benefits of disseminating the undoubtedly important and interesting record of the evolution of medical practice with concerns that the images will be misused and misunderstood. Making the images available will almost certainly lead to some tone-deaf uses, lacking empathy and regard at best—exploiting the shock value of a disfigured face or body at worst. On the other hand, digitization of the kinds of images that were once available only to researchers with the means to travel to archives can do a lot of good. Such visibility can raise awareness about past wrongs, facilitate connections between historians and the families of former patients, even provide us with a new way to think about our own mortality.