The sediment loads of many of the world's major rivers have changed significantly in recent years due to land-use change, reservoir construction, and other human impacts on their drainage basins. For many rivers, the loads have decreased, whereas for others, they have increased. Such changes can have important implications for both the natural functioning of the system as well as for human exploitation of the river system. This paper considers the evidence for recent changes in the sediment load of the Mekong River. The available data have a number of limitations in terms of both sampling frequency and the period of coverage, but they have been processed to provide a basis for considering the changes in the sediment load of the river over the period extending from the early 1960s to 2002. Although there is evidence of increasing loads at some measuring stations, the overall trends show little evidence of major changes, and the system provides evidence of buffering through storage. As of 2002, the construction of major dams on the headwaters in China appears to have had little impact on the sediment load, although as further larger dams are commissioned, the sediment load of the Mekong can be expected to decrease.