Abstract: A surgical skin marking device comprising a handle, a marking agent, a marking tip extending forwardly of the handle and configured to apply a marking agent to the skin when contacted with the skin by a user, and a radiopaque pointer that is positioned in a defined relationship relative to the handle and is proximally disposed relative to the marking tip to facilitate more accurate skin marking by a surgeon during preoperative and intra-operative procedures. A method of using the subject surgical skin marking device is also disclosed.