We conducted a literature review of the effects of climate on the distribution and growth of quaking aspen (Populus tremuloides Michx.) in the Western United States. Based on our review, we summarize models of historical climate determinants of contemporary aspen distribution. Most quantitative climate-based models linked aspen presence and growth to moisture availability and solar radiation. We describe research results pertaining to global climate change effects on aspen distribution and vigor. In addition, we present potential interactive effects related to climate change and natural disturbances and insect and pathogen outbreaks. Finally, we review the phenomenon of sudden aspen decline in western North America, which has been linked to drought and may be exacerbated by future climate change. Overall, research indicates a complex, unpredictable future for aspen in the West, where increased drought, ozone, and insect outbreaks will vie with carbon dioxide fertilization and warmer soils, resulting in unknown cumulative effects.