This chapter studies presidential term limits—understood as limits on presidential re-elections and term lengths—in four Central American electoral democracies: Costa Rica, El Salvador, Guatemala, and Honduras. Its contribution is threefold. First, it explains the evolution of these institutions as part of the political development process of these polities after independence from Spain. Second, the chapter conducts two emblematic case studies of the politics of recent term limits reforms in Latin America via constitutional reviews: Costa Rica (1999–2003) and Honduras (2009 and 2015). Finally, it examines the consequences of term limits for democracy and policymaking. In this regard, it argues that term lengths affect policymaking in Costa Rica and Honduras, and that the political institutions in these countries combined with the popularity of ex-presidents make presidential re-elections possible. In contrast, in El Salvador and Guatemala the influence of term limits is offset by formal and informal constraints.