This article reports on the first cross-site analysis of victim-offender mediation programs in the United States, working with juvenile courts in Albuquerque, Austin, Minneapolis, and Oakland. A total of 1,153 interviews were conducted with victims and offenders. These included pre- and postmediation interviews and the use of two comparison groups. Court officials were interviewed and 28 observations of mediations were conducted. The vast majority of victims and offenders experienced the mediation process and outcome as fair and were quite satisfied with it. Mediation resulted in significantly greater satisfaction and perceptions of fairness for victims, as well as significantly higher restitution completion by offenders, than found in comparison groups. Some implications for juvenile justice policy are offered.