The goal of this study was to prepare a comprehensive review of the literature on the physical, chemical, and biological effects of dredging and spoil disposal in estuaries and to identify alternative spoil disposal methods. Specific objectives were to identify the most critical problems relating to dredging and spoil disposal and to summarize the progress made to date in solving these problems. Using literature search facilities, bibliographies, and communications with experts throughout the United States, about 520 scientific and technical articles on dredging and spoil disposal were screened. Information extracted from selected articles is included in this review.