At first glance, the USA’s response to scrutiny of its human rights record under the Universal Periodic Review appears very positive. The government states that it supports or supports in part approximately three quarters of the 343 recommendations it received during the review. However, there is reason for optimism to be tempered with caution. For the USA has a poor record in implementing international recommendations even as it appears to support them, whether in the UPR or from the treaty bodies or the special procedures.