Effective collaboration with paraprofessionals is an important and growing aspect of providing special education services in inclusive schools. We reviewed recent research on special education paraprofessional issues and practices in U.S. schools between 2000 and 2007. Major findings of 32 identified studies were summarized in 9 topical categories: (a) hiring and retention of paraprofessionals, (b) training, (c) roles and responsibilities, (d) respect and acknowledgment, (e) interactions of paraprofessionals with students and staff, (f) supervision, (g) students' perspectives on paraprofessional supports, (h) school change, and (i) alternatives to the use paraprofessionals. Implications and future directions are offered, including those focusing on clarifying the collaborative relationships among paraprofessionals and other educational team members. (Contains 1 figure.)