The report presents data and commentary about the library role in textbook provision from a survey of 84 high level academic library executives drawn from 53 colleges and universities, primarily from the USA. The study gives highly detailed data on the extent of the library role in textbook provision, opinions of the likely growth or retraction of the library role, as well as the library role in open access textbooks and textbook substitutes. The study also gives precise data on the exact sums that libraries are spending on textbooks and how many enjoy special funding from college administrations or academic departments for print, digital commercial or open access textbooks.