Nails see us, but do we see them? In dermatologic training, where nails are considered skin appendages, treatment algorithms generally assume nails are static unidimensional units, without appreciation for noncutaneous influences.1 Because this does not acknowledge the dynamic interplay among infectious, inflammatory, systemic, and structural factors in nail pathology, it is not surprising that many dermatologists do not feel well equipped to diagnose or treat nail diseases.2 In this Viewpoint, we review gaps in current practices pertaining to the diagnosis and management of nail disorders to highlight opportunities for interdisciplinary collaboration across specialties.