This paper presents a review of microfabricated devices for genetic di
agnostics. Genetic diagnostics are powerful technology drivers and exc
ellent candidate applications for miniaturization technologies because
the demand for inexpensive genetic information is essentially unlimit
ed, and the cost and time for the diagnostic decreases with sample vol
ume. Genetic information is stored in long DNA molecules in solution.
This information is processed and extracted using a series of enzymati
c and other chemical reactions well known in molecular biology. Proces
sing of DNA molecules in the microscale hence requires the implementat
ion of microfluidic devices capable of handling, mixing, thermal cycli
ng, separating, and detecting nano- and picoliter liquid samples. This
paper discusses some of the fundamental macroscale protocols used for
genetic analyses and how these processes scale down to microscopic vo
lumes. The construction and performance of microfluidic devices for DN
A amplification, separation, hybridization, and detection are discusse
d, showing that so far, no fundamental impediments exist for genetic d
iagnostics based on microelectromechanical systems. Some of the unreso
lved storage and packaging issues and future challenges for the practi
cal implementation of these devices are also presented.