Climate change is affecting recreational visitor use in U.S. public lands and waters, causing changes to visitation levels, timing of trips, activity participation, and visitor safety. This report reviews the literature on how climate change is influencing visitor use in the United States and how visitor use may be affected in the future. Our goal is to provide the current state of the literature for managers of public lands and waters and provide foundational information for the development of a climate change vulnerability assessment methodology for visitor use within the National Park Service (that may be applicable to other federal lands and waters). Specifically, we investigate how seven different climate change factors may affect visitor use on public lands and waters. These factors consist of increasing temperatures; flooding, drought, and increased variability of precipitation; decreasing snowpack and earlier spring runoff; wildfires, smoke, and air quality; coastal hazards: hurricanes and sea level rise; harmful algal blooms (HABs); and zoonotic and vector-borne disease. The current research indicates that these factors are already affecting visitors to public lands and waters and continued effects in the future are likely as the climate warms. Additionally, we summarize existing research on how visitors to U.S. public lands and waters are adapting to climate change. Throughout the review, we note where there are substantial gaps in the literature and more research would help managers respond to the effects of climate change on visitor use.