Abstract Little information exists on the performance of x-ray backscatter machines now being deployed through UK, US and other airports. We implement a Monte Carlo simulation using as input what is known about the x-ray spectra used for imaging, device specifications and available images to estimate penetration and exposure to the body from the x-ray beam, and sensitivity to dangerous contraband materials. We show that the body is exposed throughout to the incident x-rays, and that although images can be made at the exposure levels claimed (under 100 nanoGrey per view), detection of contraband can be foiled in these systems....