The conservation status of 134 species, subspecies and varieties of West Indian palms (Arecaceae) is assessed and reviewed, based on field studies and current literature. We find that 90% of the palm taxa of the West Indies are endemic. Using the IUCN Red List categories one species is categorized as Extinct, 11 taxa as Critically Endangered, 19 as Endangered, and 21 as Vulnerable. Fifty-seven taxa are classified as Least Concern. Twenty-five taxa are Data Deficient, an indication that additional field studies are urgently needed. The 11 Critically Endangered taxa warrant immediate conservation action; some are currently the subject of ex situ and in situ conservation projects in the region’s botanical gardens. We recommend that preliminary conservation assessments be made of the 25 Data Deficient taxa so that conservation measures can be implemented for those facing imminent threats.