Digital imaging is rapidly replacing photographic prints and Kodachromes for pathology reporting and conference purposes. Advanced systems linked to computers allow greater versatility and speed of turn-around as well as lower costs, allowing the incorporation of macroscopic and microscopic pictures into routine pathology reports and publications. Digital images allow transmission to remote sites via the Internet for primary diagnosis, consultation, quality assurance and educational purposes and can be stored and disseminated in CD-ROMs. Total slide digitisation is now a reality and has the potential to replace glass slides to a large extent. There are extensive applications of digital images in education and research, allowing more objective and automated quantitation of a variety of morphological and immunohistological parameters. Three-dimensional images of gross specimens can be developed and posted on websites for interactive educational programs and preliminary reports indicate that medical vision systems are a reality and can provide for automated computer generated histopathological diagnosis and quality assurance.