Microsatellite DNA sequences mutate at rates several orders of magnitude hi
gher than that of the bulk of DNA. Such high rates mean that spontaneous mu
tations that form new-length variants can realistically be seen in pedigree
analysis. Data on observed mutation events from various organisms are now
accumulating, allowing inferences on DNA sequence evolution to be made thro
ugh an unusually direct approach. Here I discuss and integrate microsatelli
te mutation data in an evolutionary context. A striking feature of the muta
tion process is that it seems highly heterogeneous, with distinct differenc
es between species, repeat types, loci and alleles. Age and sex also affect
the mutation rate. Within genomes at equilibrium, the microsatellite-lengt
h distribution is a delicate balance between biased mutation processes and
point mutations acting towards the decay of repetitive DNA. Indeed, simple
repeats do not evolve simply.