There are currently more than 50 ultra-high field (7 T and above) MRI systems installed around the world. The vast majority of these perform studies on humans, whether healthy volunteers, volunteers for clinical research, or actual patients. The increased magnetic field strength potentially raises new safety concerns in the areas of the effects of the static magnetic field itself, increased power deposition due to the higher operating frequency, and acoustic noise. There are currently very different operational modes in different institutions, with policies effectively set by local ethics committees. This article summarizes the current legal and practical status regarding safety of ultra-high field MRI.