Fossil ‘dwarf’ elephants are found on islands throughout the Mediterranean, dating from 800,000 to 11,000 years ago. They represent some of the most dramatic examples of island dwarfism, with the smallest dwarf elephants estimated to have a body mass of 150 kg, compared to a putative 10,000 kg ancestor. Despite continued interest over the last 150 years, Mediterranean dwarf elephants remain little understood. Key questions remain unanswered – what is the nature of dwarfing in these elephants? What factors contribute to dwarfing, and why have populations on different islands - or the same island at a different point in time – achieved differing body sizes? Furthermore, the mainland ancestry of the earliest Sicilian/Maltese dwarf elephant (P. falconeri) has been recently called into question, and it has been suggested that they could represent a mammoth – rather than palaeoloxodontid – lineage.