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This study synthesizes what we know about transformational school leadership (TSL) as reported by previous reviews of TSL research and additional findings reported in quantitative studies on TSL (journal articles and dissertations) in the past 10 years that have not been included in previous reviews. The chapter highlights the typical approaches to the conception of TSL, its major practices, and its impacts on 18 school, 29 teacher, and five student outcomes. The impacts were estimated based on vote-counting methods and the averaging of correlation coefficients or effect sizes. Findings of this review inform school leaders and policy makers on leader preparation and professional development, teacher empowerment, and the improvement of instruction, school conditions, and student outcomes.