Perspective synthetic displays that supplement, or supplant, the optical windows traditionally used for guidance and control of aircraft are accompanied by potentially significant human factors problems related to the optical geometric conformality of the display. Such geometric conformality is broken when optical features are not in the location they would be if directly viewed through a window. This often occurs when the scene is relayed or generated from a location different from the pilot's eyepoint. However, assuming no large visual/vestibular effects, a pilot can often learn to use such a display very effectively. Important problems may arise, however, when display accuracy or consistency is compromised, and this can usually be related to geometrical discrepancies between how the synthetic visual scene behaves and how the visual scene through a window behaves. In addition to these issues, this paper examines the potentially critical problem of the disorientation that can arise when both a synthetic display and a real window are present in a flight deck, and no consistent visual interpretation is available.