The effects of Lorentz and CPT violations on macroscopic objects are explored. Effective composite coefficients for Lorentz violation are derived in terms of coefficients for electrons, protons, and neutrons in the Standard-Model Extension, including all minimal and non-minimal violations. The hamiltonian and modified Newton’s second law for a test body are derived. The framework is applied to free-fall and torsion-balance tests of the weak equivalence principle and to orbital motion. The effects on continuous media are studied, and the frequency shifts in acoustic resonators are calculated.