S imultaneous analysis of handedness data from 35 samples of twins (with a combined sample size of 21,127 twin pairs) found a small but significant additive genetic effect accounting for 25.47% of the variance (95% confidence interval [CI] 15.69-29.51%). No common environmental influences were detected (C = 0.00; 95% CI 0.00-7.67%), with the majority of the variance, 74.53%, explained by factors unique to the . No significant heterogeneity was observed within studies that used similar methods to assess handedness, or across studies that used different methods. At an individual level the majority of studies had insufficient power to reject a purely unique environmental model due to insufficient power to detect familial aggregation. This lack of power is seldom mentioned within studies, and has contributed to the misconception that twin studies of handedness are not informative.The etiology and neurological implications of lefthandedness have been the subject of debate for over a century. The first twin study comparing the handedness of monozygotic (MZ) and dizygotic (DZ) twins was published 81 years ago (Siemens, 1924); since this time there have been 34 published studies on 35 samples. However, there has been little consistency of results. The area has become one of the most controversial in laterality with the proposal of special twin effects, (such as differential right-shifts effects or mirror imaging effects; Annett, 2002;Newman, 1928) and questions raised regarding the suitability of the twin method for studying handedness and laterality in general (Nagylaki & Levy, 1973).Comparison of results across studies is complicated by differences in methodology. Handedness can be assessed as either hand preference or hand skill; two separate but related traits. Hand preference is typically a directional measure. In its simplest form it is assessed by asking 'are you left or right handed?', or 'which hand do you write with?' In its more complex form, hand preference is assessed by asking (or asking the participant to demonstrate) which hand is preferred for a range of items. Handedness questionnaires range in length from four (Coren, 1993) to 55 items (Healey et al., 1986), the number of response choices ranging from two to five, with the responses resulting either in a handedness score/quotient or a grouping classification. The diverse methods of assessing hand preference and the number of questionnaires available within the literature in part reflects the lack of a gold standard and conceptual differences regarding the evolution and nature of handedness.In contrast, hand skill is typically a quantitative measure of the degree of motor dominance of one hand over the over. Common tests of hand skill involve measuring the time taken to move a series of pegs on a specially designed board (Annett, 1985), or counting the number of circles that can be dotted with a pen in 20 seconds (Tapley & Bryden, 1985). Typically, the task(s) is performed with each hand and a dominance or lambda score is calculated expressing the di...