We are in the process of evaluating the uses that can be made of telepathology installations in multiple sites. Its main applications are in the preparation and presentation of clinical meetings and in remote consultation of histology specimens and remote presentation of teaching sessions. Pathology specialities in Edinburgh at Teviot Place and the Western General Hospital are largely localised at one or other of the sites, reducing the need for consultation between places. There are however situations where there is a need for consultation on difficult cases between sites, and there is also frequent travelling by pathology trainees to attend teaching sessions.  Our goal is to introduce telepathology resources where they are perceived as useful as a part of a long-term strategy that will facilitate the communication between pathologists irrespective of distance, and make use of digital images for clinical meetings, teaching and archiving. Telepathology is now an established technology and many studies have previously demonstrated excellent concordance in diagnosis between examination by microscope and examination of digitised images. Rather than add to the already heavy workload of local pathologists with the extra commitments of a another large study, we considered it most useful to have more flexible smaller trials fitted around the needs of pathologists in their everyday practice to ascertain which areas it is likely to be useful or not. Experience gained here will be used to best implement any future expansion of the service to other regional hospitals.