This article synthesizes observation studies investigating reading instruction for students with learning disabilities (LD) in Grades K-12. A systematic search of the literature between 1980 and 2014 resulted in the identification of 25 studies. In addition to replicating and extending E. A. Swanson's synthesis, the research questions of studies from 1980 to 2014 were analyzed for trends and gaps in the research. Findings related to both E. A. Swanson's replicated questions and several new research questions revealed that (a) only four observation studies met inclusion criteria between 2006 and 2014, (b) greater detail in observation data related to five critical components of reading were reported in studies since 2005, (c) the most frequently used grouping structure was whole-group instruction, and (d) the research questions and purposes of observation studies tend to be related to examining prevailing practices following legislative reform.