Over the past decade, it has become clear that there is an important subset of memory T cells that resides in tissues — tissue resident memory T cells (TRM). There is an emerging understanding that TRM have a role in human tissue specific immune and inflammatory diseases. Furthermore, the nature of the molecular signals that maintain TRM in tissues is the subject of much investigation. In addition while it is logical for TRM to be located in barrier tissues at interfaces with the environment in human and mouse, TRM have also been found in brain, kidney, joint, and other non-barrier tissues in both species. Their biology and behavior make it likely that they play a role in chronic relapsing and remitting diseases of both barrier and non-barrier tissues. This review will discuss recent understandings of the biology of TRM with a particular focus on their role in disease.