The initial vignette outlines some of the complexities of the use of Paired Reading (PR) in a real situation. A description of PR is followed by a brief summary of evaluation evidence. A number of related techniques are briefly described and the evidence for them considered. The utility of PR in relation to fluency is then discussed. The advantages of PR are then listed. Further questions such as "How does PR work?" and "How are gains to be sustained?" are then raised. A conclusion specifically about the effect of PR on fluency is offered.