The x-ray stick marker includes a shaft having a proximal end, a distal end, and a lumen extending through the shaft between the proximal end and the distal end. A handle is disposed at the proximal end of the shaft and a marking tip is disposed at the distal end of the shaft. The handle includes an actuating button configured to control the release of the marking tip. The marking tip is configured for marking the skin of the patient. To avoid exposure to radiation, a user may maintain a suitable distance from the patient when positioning the marking tip on a designated location of the patient's skin for drawing a mark thereon.