AbstractCoral islands formed of largely unconsolidated sands only a few metres above sea level are thought to be particularly vulnerable to sea‐level rise consequent upon global warming. However, scenarios which predict catastrophic flooding and loss of island area need reassessment, particularly in the light of the continued downwards revision of projected rates of future sea‐level rise. Revised questions concern the interactions between reef growth and sea‐level change, biophysical constraints on coral growth, and the importance to reef systems of potential changes in the magnitude, frequency and location of tropical cyclones and hurricanes. It is clear that most reefs have the growth potential to meet even the highest of future sea‐level rise scenarios, but too little is known about physiological and physical constraints to reef growth to adequately evaluate the importance of these two factors in constraining this potential at the present time. Future sea‐level rise in the tropical oceans, and coral reef responses, will take place against a backdrop of inter‐regional differences in Holocene sea levels, resulting from the varying interaction of eustatic and hydro‐isostatic processes. These differences have generated varying constraints on the development of modern reefs and varying inherited topographies upon which future sea‐level changes will be superimposed. These controls are particularly important in assessing differences in vulnerability to future sea‐level rise for reef islands in the Pacific Ocean and the Caribbean Sea.