This article reviews the definition of this area, and the history of clinical psychology in Canada. Based on this introduction, the developments in 3 critical areas for clinical psychology are discussed at length, including training, evidence-based practice, and practice issues. It is argued that training models have been consistent in Canada, and relatively homogenous, as these models serve to create national standards and high levels of service quality. The movement toward evidence-based practice in health care is reviewed, and the roles of clinical psychology in this movement. Notwithstanding the strong training models and the increasingly reliance on evidence-based care, it is argued that clinical psychology is not adequately funded to provide the range of services that it might, and some of the areas for growth are discussed. A final section of the article identifies a series of challenges and opportunities in contemporary Canadian society that affect clinical psychology. These issues include prescriptive authority, medically assisted death, aboriginal services, refugee services, access to services, technological advances in treatments, and the development of the psychological workforce. The article concludes with general suggestions for the development of clinical psychology in Canada.