Under the present invention, item verification is automated and expedited. Specifically, items to be purchased can be scanned by the shopper using a barcode reader (e.g., a scanner), attached to or positioned near the checkout station. As items are scanned, they are identified based on their barcode, and added to an item list. Item verification can then be performed at checkout using imaging technology. Specifically, as items are scanned, an item verification unit will capture an appearance thereof (via a camera). Item verification software within the item verification unit will access a database that associates items with their images/appearances. The appearance will be compared for consistency to the identity as determined based on the scan. In general, the item verification unit is a separate unit from the cash register, but adapted to work in conjunction therewith (e.g., as a pluggable system, via wireless communication, etc.).