The number and complexity of medical procedures using X rays or radioactive materials are both steadily increasing. As a result, the dose from medical exposures now makes up the largest component of the radiation dose to the population in some developed countries. Key developments include the change from film to digital radiography, the increasing sophistication of interventional radiology allowing more complex procedures and the speed and facilities available with multi-slice computed tomography scanners that have extended the range of applications. It is crucial to have accurate dosimetry to monitor the impact of these developments, to ensure that techniques are optimised, and to provide information on health risk that clinicians can consider when justifying exposures. There are two aspects to dosimetry in radiology, assessment of doses to patients and measurement of equipment performance. The techniques that are used will be described, factors that influence doses and that must be considered when making measurements will be discussed, and future developments will be considered.