A 3-round Delphi consensus study of US board-certified dermatologists with PFB expertise developed statements on diagnosis and management of pseudofolliculitis barbae, a chronic inflammatory condition caused by shaved curved hairs penetrating the skin. The panel reached consensus on 40 statements, including behavioral modification of hair removal as first-line therapy, targeted topical and systemic treatments, and procedural options such as laser hair removal, while no agreement was reached on a standardized grading scale, oral isotretinoin for refractory disease, superficial chemical peels, or multiblade razors.