Pseudofolliculitis barbae is a common dermatologic conditions primarily affecting black men who shave closely on a regular basis. Figures cited in the literature indicate 10 to 83% of black men have some form of it. Commonly encountered in the military, pseudofolliculitis barbae has caused significant problems in all commands, both medically and administratively. This article will review the pathogenesis of pseudofolliculitis barbae and provide a variety of treatment modalities. Proper treatment is essential to avoid unnecessary scarring, pigmentation, and keloid formation.