Glaciers in the Karakoram exhibit irregular behavior. Terminus fluctuations of individual glaciers lack consistency and, unlike other parts of the Himalaya, total ice mass remained stable or slightly increased since the 1970s. These seeming anomalies are addressed through a comprehensive mapping of surge-type glaciers and surge-related impacts, based on satellite images (Landsat and ASTER), ground observations, and archival material since the 1840s. Some 221 surge-type and surge-like glaciers are identified in six main classes. Their basins cover 7,734 ± 271 km2 or ~43% of the total Karakoram glacierised area. Active phases range from some months to over 15 years. Surge intervals are identified for 27 glaciers with two or more surges, including 9 not previously reported. Mini-surges and kinematic waves are documented and surface diagnostic features indicative of surging. Surge cycle timing, intervals and mass transfers are unique to each glacier and largely out-of-phase with climate. A broad class of surge-modified ice introduces indirect and post-surge effects that further complicate tracking of climate responses. Mass balance in surge-type and surge-modified glaciers differs from conventional, climate-sensitive profiles. New approaches are required to account for such differing responses of individual glaciers, and effectively project the fate of Karakoram ice during a warming climate.