In this paper we describe the development and state of archaeological surface survey in the Mediterranean. We focus especially on surface survey as a means of documenting long-term settlement patterns at various scales, as an approach to the archaeology of regions, and as a pathway to the interpretation of past landscapes. Over the last decades, literature on Mediterranean survey has increasingly emphasized a distinct set of practices, viewed both favorably and critically by regional archaeologists in the Mediterranean and elsewhere. We show that Mediterranean survey in fact comprises several discrete regional traditions. In general, these traditions have much to offer to wider dialogues in world archaeology, particularly concerning sampling and research design, the interpretation of surface assemblages, and the integration of complex, multidisciplinary datasets. More specifically, survey investigations of Mediterranean landscapes provide comparative data and potential research strategies of relevance to many issues of global significance, including human ecology, demography, urban-rural dynamics, and various types of polity formation, colonialism, and imperialism.