 This scoping review aims to systematically review the characteristics of pacing and its effects on symptoms in people with myalgic encephalomyelitis chronic fatigue syndrome, ME-CFS. The study found that there is a lack of consensus on the definition of pacing, and the most common approach to pacing, pacing prescription, and the pooled efficacy of pacing was unknown. The review included 17 studies with variable designs, durations, and outcome measures. 11 studies reported benefits of pacing, for studies reported no effect, and two studies reported a detrimental effect in comparison to the control group. The results suggest that future studies should be randomized control trials, RCTs, utilizing objectively quantified digitized pacing over a longer duration of examination, using the core outcome set for patient reported outcome measures. This article was authored by Nilohan E. M. Sunol Hayes, Marie McLaughlin, Lawrence D. Hayes, and others. We are article.tv, links in the description below.