The first generation of excimer lasers for refractive surgery have several functional and cost limitations. As a result, product developers are investigating several types of solidstate lasers for this application. Lasers under development include erbium, holmium, Ti:sapphire, short- pulse Nd:YAG, and frequency converted Nd:YAG. Laboratory tests have shown that all of these lasers can perform refractive surgery. The clinical and technical status of each of these lasers are presented in an overview of this emerging technology.