This report examines the broad range of organisms which can parasitize marine mammals, and identifies those which we feel have the greatest impact on individuals and populations. Many parasites colonize and damage the integument in some way. Only the sucking lice of seals are associated with debilitating disease. In addition, at least one species, E. horridus can serve as intermediate host of the seal heartworm, D. spirocauda. Of the few protozoa, the one deserving most attention is Sarcocystis sp. Its ubiquitous distribution challenges our understanding of coccidian life cycles as currently perceived. Acanthocephalans and cestodes are rarely associated with clinically significant illness. It is intriguing that cetaceans and pinnipeds serve as mammalian intermediate hosts for larval tetraphyllidians destined to mature in elasmobranchs. Digeneans occupy the gastrointestinal tract and severely damage liver and pancreas of cetaceans. Nasitrema sp. infects cranial sinuses of small odontocetes, and enters the brain, thereby leading to stranding and death in selected populations. Nematodes represent the broadest group of parasites. Pseudaliids often infect the respiratory system, causing sufficient damage to affect survival. There is no evidence that Stenums sp., a pseudaliid inhabiting the cranial sinuses of some whales and dolphins, plays any role in mass strandings, as has been popularly suggested. Filarioids are highly pathogenic in pinnipeds and are probably responsible for significant mortality, especially in young animals. Anisakine nematodes in the stomach are of little consequence to the host. The role of marine mammals in transmitting the parasites to commercially exploited fish stocks is a public health issue. The only other parasite which represents a threat to humans is Trichinella spiralis, which is widespread in Arctic mammals. The Crassicaudinae are the largest nematodes in cetaceans. Evidence is accumulating that the damage they cause in cranial bone, mammary tissue and the urinary tract may influence productivity and survival among certain groups. Most of our understanding of the parasites of marine mammals derives from studies on specimens which come ashore. The information is fragmentary, and suffers from our inability to follow the progress of infection and the overall condition of the parasitized animal. Yet we might conclude that the parasitism we see is as advanced as can be tolerated by the host. Weak animals retreat from the protection of the herd, become vulnerable to predators, and probably cannot survive in an environment which places heavy demands on thermoregulation, respiration and mobility.