There are now over 450 active Nicotine Anonymous meetings (groups) in the U
nited States. The origins and current status of Nicotine Anonymous are desc
ribed, and some comparisons are drawn with Alcoholics Anonymous. Several re
search issues are identified including determination of what kinds of smoke
rs are attracted to, stick with, and benefit from Nicotine Anonymous; descr
ibing patterns of utilization; and the degree to which Nicotine Anonymous m
eetings follow 12-step principles and procedures. From a service perspectiv
e, Nicotine Anonymous may serve as a useful referral resource for smokers w
ith alcohol- or substance-abuse comorbidities, especially those who have pa
rticipated in 12-step programs.