Roundabouts in United States and other countries have been proved to be very successful, effective, and a safe traffic control treatment. Roundabouts in the context of regularly expected truck configuration have also been successful for effective roundabout designs; however, there are always some site specific issues for trucks accommodation at roundabouts. Therefore, there is a great need for an informational guide in the form of synthesis report for roundabout designs specific to unique trucking traffic activity. While there are not significant literatures and studies in this subject, there are few studies/reports spread out which address various issues in this subject area. This study attempts to synthesize the research and knowledge of truck accommodation at roundabouts by synthesizing various research studies, reports, and articles; various subject areas such as roundabout designs for trucking activity, roundabout designs and accommodation strategies for specialized trucking activity such as oversized trucks, truck safety at roundabouts, and motor carrier perspective of trucking at roundabouts have been analyzed and relevant knowledge has been synthesized. This synthesis can be useful o researchers, designers, planners, and decision makers to determine effective ways to address specific trucking related issues at a roundabout.