Purpose: The purpose of this paper is to synthesize the accumulated body of research on Lean in higher education, draw conclusions to help guide successful Lean implementations and propose future research directions to establish a rich base of knowledge that informs both practice and research. Design/methodology/approach This literature review examines the academic literature regarding the use of Lean in higher education across 64 publications. EBSCO definitions were used to assess and present the synthesized results, which are detailed at the department/unit level and at the organizational level. Findings: Overall, Lean appears to have significant and measurable value when used to improve academic and administrative operations in higher education. Such improvements are effective at the department/unit level or throughout the entire institution. However, implementing Lean within an institution is a serious undertaking that is most impactful if it involves long-term, strategic planning. Research limitations/implications: The groundwork has been established for the development of conceptual frameworks to further guide Lean initiatives in higher education. Such frameworks, together with further integration of organizational development and change management literature will define best practices when implementing Lean locally and throughout the institution. Originality/value: At the time of this writing, there has been no systematic review or integration of the published literature about Lean in higher education. This review provides a highly useful starting point for researchers interested in further developing theory about quality in academic institutions.