Genital rashes and growths are not uncommon and sometimes uncomfortable reasons for seeking medical attention. It is important to make the correct diagnosis after a tactful history and a meticulous examination. The diagnosis is usually clinical; near-patient investigations may be required to confirm it but may not be easily available or convenient. Patients often fear they may have been infected with a sexually transmitted infection (which should be excluded) or even a malignancy which often heightens their anxiety. Physicians should be familiar with normal and variants of anatomy and the genital specific symptoms and signs of common conditions and their respective management aspects.