We develop the foundations of a geometric theory of countably-infinite approximate groups, extending work of Björklund and the second-named author. Our theory is based on the notion of a quasiisometric quasi-action (qiqac) of an approximate group on a metric space.More specifically, we introduce a geometric notion of finite generation for approximate group and prove that every geometrically finitely-generated approximate group admits a geometric qiqac on a proper geodesic metric space. We then show that all such spaces are quasi-isometric, hence can be used to associate a canonical QI type with every geometrically finitely-generated approximate group. This in turn allows us to define geometric invariants of approximate groups using QI invariants of metric spaces. Among the invariants we consider are asymptotic dimension, finiteness properties, numbers of ends and growth type.A particular focus is on qiqacs on hyperbolic spaces. Our strongest results are obtained for approximate groups which admit a geometric qiqac on a proper geodesic hyperbolic space. For such "hyperbolic approximate groups" we establish a number of fundamental properties in analogy with the case of hyperbolic groups. For example, we show that their asymptotic dimension is one larger than the topological dimension of their Gromov boundary and that -under some mild assumption of being "non-elementary" -they have exponential growth and act minimally on their Gromov boundary. We also show that every non-elementary hyperbolic approximate group of asymptotic dimension 1 is quasi-isometric to a finitelygenerated non-abelian free group.We also study proper qiqacs of approximate group on hyperbolic spaces, which are not necessarily cobounded. Here one focus is on convex cocompact qiqacs, for which we provide several geometric characterizations à la Swenson. In particular we show that all limit points of a convex cocompact qiqac are conical, whereas in general the conical limit set contains additional information.Finally, using the theory of Morse boundaries, we extend some of our results concerning qiqacs on hyperbolic spaces to qiqacs on proper geodesic metric spaces with non-trivial Morse boundary.Throughout this book we emphasize different ways in which definitions and results from geometric group theory can be extended to approximate groups. In cases where there is more than one way to extend a given definition, the relations between different possible generalizations are carefully explored.