Medical video clips are accepted, customized, and a video or image is created from the video clip. In one embodiment, the video clip is a prenatal ultrasound and the customization includes specifying biographical information for the baby and selecting border and audio. In another embodiment, video clips or images are from medical devices including CAT scans, MRIs, X-Ray systems, ultrasounds or standard digital video or still image capture devices used for procedural documentation purposes. The customization includes annotating the video clips in order to share and collaborate. Video editing and sharing is typically done via an Internet appliance.