Introduction If you've spent time in lichen sclerosus (LS) support groups, you've probably noticed that people receive very different advice about treatment. Some healthcare providers recommend long-term steroid use, while others tell patients to stop once their symptoms improve. Some recommend avoiding certain activities, while others encourage patients to continue living normally. And then there are newer procedures, such as lasers and platelet-rich plasma (PRP), which are often marketed as alternatives to steroids. With so much conflicting information, how do we know what the research actually supports? In 2026, researchers published updated lichen sclerosus guidelines, building on the 2024 European recommendations and the earlier 2015 guidelines. These guidelines review available research and provide recommendations for treating LS, managing symptoms, and protecting skin health over time. There are some interesting updates, particularly around skincare, lifestyle recommendations, and newer treatments. However, some of the most important recommendations haven't changed at all. Let's…