Larvae of the tribe Tanytarsini occur in nearly every aquatic habitat in North America where they act as primary consumers in the food chain. This new taxonomic guide overcomes some deficiencies in existing keys to this tribe and the reviewed and updated taxonomy enables identification of the larvae that may be useful as ecological indicators. Over 2,000 specimens from 26 states were examined, identified and measured in this study. The following genera were included: Stempellinell, Zavrelia, Stempellina, Constempellina, Corynocera, Cladotanytarsus,.. Paratanytarsus, Rheotanytarsus,. Micropsectra, Lauterbornia, Nimbocera, Tanytarsus and Neozavrelia. Photographs illustrate mature larvae of these genera with the exception of Zavrelia and Neozavrelia which are not known to exist in North America. The morphological data, Which are summarized in a table of distinctive characteristics and the dichotomous key, enable identification to genus. Notes on range, habitat and food preference are included, and species identifications are presented where applicable.