Recent decades have seen a marked increase in the number of dams removed in the United States. Investigations following a number of removals are beginning to inform how, and how fast, rivers and their ecosystems respond to released sediment. Though only a few tens of studies detail physical responses to removals, common findings have begun to emerge. They include: (1) Rivers are resilient and respond quickly to dam removals, especially when removals are sudden rather than prolonged. Rivers can swiftly evacuate large fractions of reservoir sediment (≥50% within one year), especially when sediment is coarse grained (sand and gravel). The channel downstream typically takes months to years—not decades—to achieve a degree of stability within its range of natural variability. (2) Modest streamflows (<2-year return interval flows) can erode and transport large amounts of reservoir sediment. Greater streamflows commonly are needed to access remnant reservoir sediment and transport it downstream. (3) Dam height, sediment volume, and sediment caliber strongly influence downstream response to dam removal. Removals of large dams (≥10 m tall) have had longer-lasting and more widespread downstream effects than more common removals of small dams. (4) Downstream valley morphology and position of a dam within a watershed influence the distribution of released sediment. Valley confinement, downstream channel gradient, locations and depths of channel pools, locations and geometries of extant channel bars, and locations of other reservoirs all influence the downstream fate of released sediment.