There is considerable interest in assessing patients with Marfan syndr
ome at the clinical, protein, and genetic levels. Clinical assessments
are inconsistent between centres and between clinicians. There are no
satisfactory clinical grading scales against which to analyse the mol
ecular information, limiting the scope of clinical/molecular correlati
ons. We present grading scales for the major clinical systems involved
in Marfan syndrome and suggest that their widespread use will facilit
ate collaborative approaches to clinical/molecular correlations and in
ternational assessments of therapy.