Fresh water lake sediment removal is usually undertaken to deepen a lake and increase its volume to enhance fish production, to remove nutrient rich sediment, to remove toxic or hazardous material, or to reduce the abundance of rooted aquatic plants. Review of more than 60 projects and five case histories reveals that the first three objectives are usually met through sediment removal. Sediment removal to control toxic materials is possible with minimal environmental impact when proper equipment is used, but it may more than double the cost. Lack of definitive information about rooted plant regrowth rates in dredged areas prohibits explicit recommendations on sediment removal to control plant growth.