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The purpose of this study is: a) to examine published educational literature to determine the extent that propensity score analysis has been applied to complex samples and how the sampling design has been addressed in the PSA; and b) to quantify the effects of ignoring the sampling design when using propensity score analysis. Of 163 published studies, 45% had analyzed complex survey data. In review of the 74 studies that had analyzed complex survey data, less than 25% had made some type of adjustment for the sampling design. The results of the PSA demonstration suggest that while the non-overlapping confidence intervals suggested there were no statistically significant differences by CS adjustment, the tests of inference produced important differences to note.