In any field, it is appropriate to periodically reflect on what practice has been substantiated by research in the field, as well as what implications that research may have for future endeavors. This research review of the field of aquatics for individuals with disabilities discusses problems with definition of the field and narrows this definition for more detailed consideration. Using a database spanning over half a century and containing over 900 items classified as related to adapted aquatics, the quality, content, and substance of research in adapted aquatics are considered for reflection. Finally, recommendations are made for future research directions to better support growth in the field, as well as health and wellness of individuals with disabilities.