We describe an approach to solving the sextic moment problem based on a thorough analysis of the extremal case, and algorithmic solutions for the non-extremal cases. \medskip For a degree $2n$ complex sequence $\gamma \equiv \gamma ^{(2n)}=\{\gamma _{ij}\}_{i,j\in Z_{+},i+j \leq 2n}$ to have a representing measure $\mu $, it is necessary for the associated moment matrix $M(n)$ to be positive semidefinite, and for the algebraic variety associated to $\gamma $, $\mathcal{V}_{\gamma} \equiv \mathcal{V}(M(n))$, to satisfy rank $M(n)\leq \;$ card$\;\mathcal{V}_{\gamma}$ as well as the following consistency condition: if a polynomial $p(z,\bar{z})\equiv \sum_{ij}a_{ij}\bar{z}^{i}z^j$ of degree at most $2n$ vanishes on $\mathcal{V}_{\gamma}$, th...