Urgent message: Management of face and scalp lacerations requires an appreciation of the unique anatomy, sound repair technique, and consideration of patient expectations for cosmesis. Lacerations of the scalp and face are commonly seen in the urgent care setting. While these injuries can cause anxiety for both patient and practitioner, the basic tenets and techniques for repair are already well known. Following a systematic approach and appreciating the unique anatomic considerations of the face will allow the urgent care practitioner to manage these wounds confidently and with optimal results. In addition to applying a sound technical approach to repair, understanding and responding to patient expectations and concerns are an important part of the evaluation and management of these injuries.