This study provides a comprehensive review and evaluation of the implementation of the Montevideo Consensus on Population and Development in the Caribbean. The Montevideo Consensus was adopted by the governments of the region in 2013 and includes more than one hundred priority actions covering themes including population policy and planning; children and youth; ageing; sexual and reproductive health; gender equality; international migration; territorial inequality; and indigenous peoples. This study was prepared to inform the first five-year review of the implementation of the Consensus which was carried out, first, at the Caribbean Preparatory Meeting for the Third Session of the Regional Conference on Population and Development in Latin America and the Caribbean and, subsequently, at the regional conference itself. The Caribbean preparatory meeting was held in Georgetown, Guyana from 24 to 26 July 2018 while the regional conference was held in Lima, Peru from 7 to 9 August 2018. This study should therefore be read in conjunction with the reports of these meetings.