This Final Synthesis Report summarizes a four-year program to characterize and monitor carbonate mounds on the Mississippi/Alabama outer continental shelf (OCS). The study area is shown in Fig.ES.1. The study was conducted by Continental Shelf Associates, Inc. and the Geochemical and Environmental Research Group (GERG) of Texas A&M University (TAMU), for the U.S. Geological Survey (USGS), Biological Resources Division.