This synthesis, which describes the state of the practice for full- scale accelerated pavement testing (APT), will be of interest to state department of transportation (DOT) pavement design and materials engineers; DOT research staff, including field and laboratory materials testing personnel; and private industry APT equipment suppliers. State DOT administration and management personnel will have a particular interest in the application of APT results toward more efficient and effective pavement designs. Local transportation agencies may also have an interest in the topic. This synthesis reviews the capabilities and limitations of the major APT facilities available worldwide and describes the role and application of full-scale accelerated pavement testing in the development of pavement technology. This report of the Transportation Research Board (TRB) presents data obtained from a review of the literature and a survey of the state DOTs, Canadian transportation agencies, and international organizations. A brief historical overview of APT, a discussion of the application of APT to research, and the application of APT to practice are included. Profiles of APT facilities throughout the world are included in an appendix.