We surveyed corals in American Samoa for presence of lesions. We did 19 SCUBA and additional snorkel dives on 6 and 7 sites on Tuituila and Ofu-Olosega, American Samoa. We photographed and took 70 samples from 49 corals comprising 29 species. Corals were fixed, decalcified, and sectioned on microscope slide to examine cellular architecture. Grossly, the most common lesions in corals were bleaching, growth anomalies, and tissue necrosis. On histology, depletion of zooxanthellae from coral tissue was most often seen followed by tissue necrosis associated with algae or fungi, hyperplasia of gastrovascular canals, or uncomplicated tissue necrosis. Two grossly bleached corals had evidence of pathologic lesions associated with invasion by ciliate...