To the Editor There were numerous problems related to a recently published Research Letter about indoor tanning-related injuries.1 The research documented 405 emergency department visits related to tanning beds and sun lamps over a decade span. Correspondence with the author and analysis using the Consumer Product Safety Commission (CPSC) National Electronic Injury Surveillance System (NEISS) database reveal several disconcerting factors not addressed in the research: (1) questions about causality, (2) lack of access to data for verification, and (3) failure to discuss the absolute risk of the injuries.