[5] According to Gianni Marchesi, due to the fact that contacts between Mesopotamia and Dilmun go back to the Ubaid period it is plausible to assume that it was Sumerian in origin and can be translated as me-sikil-ak, "she of the pure me.
[8] According to Joan Goodnick Westenholz, the sign ak in Meskilak's name, while sometimes interpreted as a genitive ending, is more likely to be an indication of non-Sumerian origin, as in the cases of Tishpak, Inzak or Latarak.
[11] It is mentioned in an inscription from Failaka Island attributed to the Neo-Babylonian king Nebuchadnezzar II, according to which the Mesopotamian god Shamash (from Larsa), was worshiped there as well.
[4] In texts from this area, her name could be transcribed as Ninsikila, written dNin-sikil-a ("the lady of the pure"[18]) on one of the Gudea cylinders and dNin-sikil-la in the myth Enki and Ninhursag.
[24] Meskilak also appears in the incantation series Šurpu, where she is one of the deities invoked in a passage which begins with the invocation of the god Lugala'abba, the "lord of the sea," and ends with her.
[19] A bilingual hymn treats Meskilak as a male deity identical with Inzak, and identifies him as the counterpart of Nabu and spouse of a goddess named Šuluḫḫītum.
[26] It has been proposed that she might have originated as an Akkadian counterpart of Meskilak based on the reinterpretation of her name as Ninsikila, to be understood as "the one related to purification rites,"[27] though this view is not universally accepted.
[28] The name Nintilmun, "lady of Dilmun," mentioned in the Inanna section of the god list An = Anum, might also plausibly refer to Meskilak.
[35] The early proposal that Dilmun is presented as a paradise in this section of the myth, initially suggested by Samuel Noah Kramer in the 1940s, is no longer considered plausible.
[4][36] Gianni Marchesi notes that a variant of the text known from Ur and dated to the period of Rim-Sîn I's reign emphasizes Dilmun's character as a trade hub through an additional passage in which Enki blesses Meskilak and states that her land will be the destination for precious resources from various distant locations, including Tukriš, Magan, Meluhha, Elam and Marhasi.
[40] According to Dina Katz, it is possible that a different deity than Meskilak was meant in this case, perhaps Ninsiki, who was associated with wool who appears alongside Lahar in god lists, though the copy of Enki and Ninhursag from Nippur according to her "does create the impression that the two [Ninsikilas] are the same goddess.