Let R be a graded noetherian domain. If the graded quotient ring of R is of the form K[z, z^{-1}; sigma] for some field K and automorphism sigma of K, we say that R is birationally commutative. The main result of this thesis is a complete classification of birationally commutative projective surfaces: birationally commutative domains of Gelfand-Kirillov dimension 3. We show that all such rings are determined by geometric data of a very precise type. This generalizes the work of Rogalski and Stafford on birationally commutative surfaces that are generated in degree 1. A large class of these rings are idealizer subrings of twisted homogeneous coordinate rings. We study these more generally and determine their properties, in par...