An analysis of the literature on access and accessibility in academic libraries identified five themes including: evaluating electronic resources and services for disabled users, examining the digital divide and electronic access in countries with limited resources, analyzing access to library collections and services, increasing access to electronic resources and services, and utilizing tools to promote access to resources. The review highlighted the importance of assessment, user studies, collaboration, skills instruction, and technologies in fostering access and accessibility in academic libraries. Assessing all users' access to library resources remains essential in identifying issues with the delivery of services and materials through the web. User studies foster improved access to resources by revealing individuals' resource and instructional needs as well their physical impairments. Collaboration among various entities supports funding, resource acquisition, and service development, especially in countries with limited resources. Instruction, like collaboration, enhances users' access through the improvement of their information and digital literacy skills. Lastly, access and accessibility of library resources centers on the use of technology to support all users' abilities to utilize libraries materials and services. Students' access to library resources and services is critical for their completion of course work as well as their development of 21st Century skills.