Twins can provide unique opportunities to study causal influences on variation in human behaviors, development, and diseases. During the past 10 years, the number of twin registries has increased rapidly across the globe and we thought it timely to bring these to the attention of our readership. In this special issue, we invited papers on twin registries and cohorts from 28 countries representing five continents. Subjects covered include how to establish and maintain twin registries, accurately assess zygosity, collect biospecimens, and other important issues related to twin studies. This special issue shows that over 1.5 million twins and their families are participating in twin studies worldwide. Research interests will be highlighted, with the aim of fostering collaborative research.