This review of ultralow-volume (ULV) ground aerosols for adult mosquito control includes discussion on application volume, aerosol generators, droplet size, meteorology, swath, dispersal speed, assay methods, insecticide efficacy, and nontarget effects. It summarizes the efficacy of ULV insecticidal aerosols against many important pest and disease-bearing species of mosquitoes in a wide range of locations and habitats in the United States and in some countries of Asia and the Americas. Fourteen conclusions were drawn from the review. 1) ULV ground aerosol applications of insecticide are as efficacious against adult mosquitoes as high- or low-volume aerosols. 2) ULV aerosols with an optimum droplet size spectrum can be produced by several types of nozzles including vortex, pneumatic, and rotary. Droplet size of a particular insecticide formulation is dependent primarily on nozzle air pressure or rotation speed and secondarily on insecticide flow rate. 3) Label flow rates of insecticide for ULV aerosol application can be delivered accurately during routine operations with speed-correlated metering systems within a calibrated speed range, usually not exceeding 20 mph. 4) The most economical and convenient method of droplet size determination for ULV aerosols of insecticide is the waved-slide technique. 5) The efficacy of ULV ground aerosols against adult mosquitoes is related to droplet size because it governs air transport and impingement. The optimum droplet size for mosquito adulticiding is 8-15 microns volume median diameter (VMD) on the basis of laboratory wind-tunnel tests and field research with caged mosquitoes. 6) In general, ULV aerosols should be applied following sunset when mosquitoes are active and meteorological conditions are favorable for achieving maximum levels of control. Application can be made during daytime hours when conditions permit, but rates may have to be increased. The critical meteorological factors are wind velocity and direction, temperature, and atmospheric stability and turbulence. 7) Maximum effective swaths are obtained with aerosols in the optimum VMD range during favorable meteorological conditions in open to moderately open terrain. The insecticide dosage must be increased in proportion to increased swath to maintain the same level of mosquito control. 8) Dispersal speed within a range of 2.5-20 mph is not a factor affecting efficacy if insecticide rate and optimum droplet size are maintained. 9) The results of caged mosquito assays are comparable with reductions in free-flying natural populations. 10) The field efficacies of mosquito adulticides applied as ULV ground aerosols are predictable from the results of laboratory wind-tunnel tests. 11) Results of field tests in open to moderately open terrain during favorable meteorological conditions indicated that ULV insecticidal aerosol application rates producing 90% or more control of Anopheles, Culex, and Psorophora spp. are below or approximately equal to maximum United States Environmental Protection Agency label rates. Against some Aedes spp., some pyrethroid insecticides must be synergized to produce 90% control at label rates. 12) Results of field tests in residential areas with moderate to dense vegetation and in citrus groves or other densely wooded areas showed that insecticide rates of ULV ground aerosols must be increased 2-3-fold to obtain 90% or more control of adult mosquitoes. However, the maximum rates on some insecticide labels would have to be increased to allow higher application rates. 13) Applications of ULV ground aerosols of insecticide in accordance with label directions following sunset do not pose a serious threat to humans, nontarget beneficial animals, or automotive paints. 14) Some aerosol generators operated at high RPM levels exceed the OSHA 8-h hearing hazard criteria of 90 dBA and may require hearing protectors for operators.