The health of Santa Claus (SC) and work-related risks have been discussed on very few occasions in the medical literature.[[1]] We believe that due to his unique line of work, the skin of SC is peculiarly at risk and SC may be exposed to various work-related cutaneous hazards (Table). Exposure to cold during long Finnish winter may be associated with various cold-associated conditions such as chilblains, cold urticarial or cold panniculitis.