This paper presents a review of sediment dispersal processes in the Strait of Georgia, based on marine geological studies. Sediment from the Fraser River is dispersed around the Strait through a variety of transport pathways. Most sand and coarser silt fractions settle out and are deposited within a few 100 m of the channel mouths. Both channelled and non-channelled gravity flows probably transport sediment downslope and onto the basin floor. Asymmetric tidal currents force a predominantly northward sediment drift, resulting in a reworked slope off Roberts Bank and a finer-grained depositional slope off Sturgeon Bank. Far-field sediment accumulation is controlled by local morphology and sediment dynamics. Multibeam mapping and seismic profiling reveal that some parts of the basin floor are characterized by bottom sediment reworking and erosion. Given the complexities of sediment dispersal and seafloor reworking, generalizations about sediment dispersal paths and sedimentation rates are difficult. Future understanding will be advanced by the cabled observatory, VENUS, which will enable near real-time monitoring of key processes.