This report synthesizes peer-reviewed literature of public opinion regarding prescribed fire and associated smoke, with a focus on the Pacific Northwest. This body of literature finds widespread public support for prescribed fire on federal and state-managed lands, while also identifying concerns about smoke impacts, escaped fire, and recreational disruptions. The literature identifies the importance of effective communication strategies to improve public understanding and acceptance of prescribed fire, including educational campaigns, leveraging trusted local messengers, and providing actionable solutions for reducing smoke exposure. The reviewed literature further suggests that public health messaging should be integrated into prescribed fire communication efforts efforts in ways that are responsive to local populations’ awareness and attitudes, to best ensure communities are well-prepared and informed about both the benefits and risks of prescribed fire.