Professor Sue Black, a forensic anatomist, details how unique anatomical features on hands and wrists are used to identify perpetrators of child sexual abuse, especially from self-recorded evidence. She explains how near-infrared technology reveals superficial vein patterns, which are as unique as fingerprints, even in identical twins. Other identifying marks like freckles, scars, and knuckle creases also contribute to individual identification. This method has led to convictions in high-profile cases, such as Mr. Oketch and Mr. Huckle, often securing plea changes and sparing victims from testifying. Black emphasizes the vast scale of child sexual abuse and challenges the tech community to "design out" this crime by preventing the creation and sharing of abuse images, prioritizing children's safety over material possessions.