Measurements of surface dose and build-up have been measured for photon radiation sources with maximum energy from 1.2 to 25 MeV. A variable volume ionization chamber was used and the results extrapolated to what would be obtained with a zero volume chamber. The results are found to depend systematically on the plate separation of a parallel plate ionization chamber and an empirical method was derived for correcting measurements made with a fixed volume chamber. The relationship of dose build-up curves with skin reactions in radiation therapy patients is discussed.