Benefits of employing laser and optical technologies in clinical dermatology ate enormous, including solving the complex of questions in diagnosis and treatments of many skin diseases; introducing new methods of diagnosis, treatment and its evaluation; advancing fundamental understanding not only of physiology of skin itself, but also of pathophysiology of different dermatological diseases and conditions. Through numerous innovations in laser and optical technologies a variety of specific and important information has become available in clinical dermatology on real-time normal and lesional skin characterization and visualization, on different type and pattern recognition, on monitoring of several dermatological conditions, on assessment of various parameters for measuring dynamics of skin lesions with further possibilities to assess severity of skin symptoms, and on evaluation of different treatment regimes and their comparisons. After a decade of experiences in inter- and multi-disciplinary research I would like to share the wisdom and pitfalls of my work how to get laser and optical technologies into clinical practice of dermatological interest, that are discussed in the paper.