Since January 2004, a Malay-Muslim–based insurgency has engulfed the three southernmost provinces in Thailand. More than 4,500 people have been killed and over 9,000 wounded, making it the most lethal conflict in Southeast Asia. Now in its 8th year, the insurgency has settled into a low-level stalemate. Violence is down significantly from its mid-2007 peak, but it has been steadily climbing since 2008. On average, 32 people are being killed and 58 wounded every month. Most casualties are from drive-by shootings, but there are also about 12 improvised explosive device (IED) attacks a month. The insurgency is now characterized by less indiscriminate violence and more retaliatory attacks. Insurgents continue to target security forces, government officials, and Muslim moderates who seek accommodation with the Thai state as part of efforts to make the region ungovernable by limiting provision of social services and driving Buddhists from the south. The overall level of violence may be influenced more by insurgent calculations about the optimum amount of violence needed to advance their political goals than by improved capabilities of the security forces. Despite better coordination, Thai counterinsurgency operations are still hampered by bureaucratic infighting and a lack of professionalism. Human rights abuses by security services with blanket immunity under the Emergency Decree continue to instill mistrust among the local population.