Suspended sediment is a major factor in the biological and geochemical cycling of trace elements and nutrients in aquatic systems. The design of effective studies involving the collection, processing, and subsequent chemical analysis of suspended sediment requires a clear understanding of the problems associated with using this sample medium. This review summarizes the current state of knowledge relative to the various issues/problems associated with the collection of representative suspended sediment samples in fluvial systems. It also addresses issues associated with accurately determining the concentrations and fluxes of sediment-associated trace elements and nutrients.