Evidence Checklist: Scars, Painful or Unstable
DC 7804
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Dermatology or plastic surgery evaluation documenting scar characteristicsCritical
Examination documenting scar location, size (cm squared), whether the scar is painful (with or without touch), whether it is unstable (breaks down easily, has non-healing areas), and any associated findings (hyperpigmentation, keloid, contracture).
Nexus opinion linking scars to service ("at least as likely as not")Critical
A medical opinion connecting your painful or unstable scars to in-service injury, surgery, or trauma during military service.
Treating Physician
Scar measurements (area in cm squared) and count of scarsCritical
Written documentation of each scar's dimensions and total area. VA rates painful scars at 10% each (DC 7804) and unstable scars at 10%-30% based on area (DC 7805). Multiple scars can support multiple ratings.
Treatment Records
Pain documentation (frequency, triggers, severity, impact)Critical
Medical records and personal logs documenting the nature of scar pain -- whether it is spontaneous, evoked by touch or pressure, and how it limits daily activities, sleep, or use of equipment.
Documentation of scar breakdown or wound care episodes
Medical records showing episodes of scar breakdown, ulceration, wound care visits, and any treatment for chronic non-healing scar tissue.
Lay Statements & Personal Documentation
Dated photographs of all scars (with ruler for scale)Critical
Clear photographs of all scar sites showing size, appearance, and any signs of instability (erosions, ulceration) or inflammation. Photographs on worst days are particularly valuable.
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Scars/DisfigurementCritical
Standardized form capturing all scar locations, areas, pain status, stability, and functional limitations under DC 7804-7805.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.