The majority of literature examined came from North America, western Europe, and South Africa. In spite of intensive and often sustained effort by industry and governments across three continents for 30 years, reductions in the incidence of electrocution have been demonstrated in only a few studies. Reliable rate estimates of electrocution mortality generally are unavailable, with some exceptions. Nearly half of 110 studies we analyzed in detail were retrospective reviews of historical mortality records, banding data, or results of necropsies on dead birds received at pathology and veterinary facilities. Among prospective studies, less than half used unbiased approaches to sampling and many did not provide enough detail to assess the sampling design used.