Medical records of 63 Fiji banded iguanas (Brachylophus bulabula) examined by veterinarians at the San Diego Zoo from January 2000 to May 2010 were reviewed to identify age, sex, presenting complaint, final diagnosis, and outcome. A total of 154 presentations were recorded, which included 63 individual animals. Females outnumbered the males, both in number of presentations and in mean presentations per individual. Trauma was the most frequent diagnosis (39%) and, of those cases, conspecific inflicted trauma was more common than trauma from environmental elements. In addition, the majority of conspecific trauma presentations were female (86%). Additional causes of morbidity included reproductive, idiopathic, infectious, congenital, inflammatory, and neoplastic conditions. All reproductive presentations were female. In hatchlings, congenital issues made up the majority of presentations. The majority of cases improved (84%), 8% were euthanized, 4% died, and 3% remained static but stable. The overall mortality rate during the 125 month study period was 20%.