Occurrences of reef corals are examined at Caribbean fossil localities to determine how biodiversity has changed within the region over the past 50 million years. Analyses of 294 species (66 genera) at 58 fossil localities show that Caribbean generic diversity rose to 44 between 50±22 Ma, ranged from 32±39 between 22± 2 Ma, and dropped to 25 afterwards. Regional species diversity was high at 40±36 Ma, 28±22 Ma, and 5±2 Ma. Origination rates were elevated throughout each high diversity interval, but extinction was concentrated near the end of each interval. Regional highs of origination and extinction, therefore, di ered in timing and duration, causing the observed regional diversity increases during the three remarkably long intervals of turnover. Highs of generic origination decreased in magnitude as immigration from the Mediterranean ceased, but speciation highs increased in association with emergence of the Central American isthmus. Peaks of extinction coincided with regional changes in climate and oceanic circulation.Maximum species diversities within assemblages increased to 40±60 between 50±36 Ma, and have remained relatively constant ever since. Assemblage compositions di ered among localities having similar ages and environments, suggesting that the timing and pattern of turnover varied across the region. Stable diversities but variable compositions within assemblages suggest that dispersal and recruitment in¯uenced the pattern of faunal change during turnover.