This study examined the development and effects of school-wide student-led conferencing (SLC) at four middle schools across four states, namely California, Oregon, Texas, and Washington. All site administrators, 30 teachers, and 524 middle school students and their parents in 30 classrooms participated in this study. Methodology included student and parent surveys, teacher and site administrator interviews, and extensive on-site observations. Findings revealed positive effects of SLC at each site and suggest a ten-step process to implement SLC at a school site. (Contains 4 tables.)