For bilinguals, lexical access in one language may affect, or be affected by, activation of words in another language. Research to date suggests seemingly contradictory effects of such cross-linguistic influence (CLI): in some cases CLI facilitates lexical access while in others it is a hindrance. Here we provide a comprehensive review of CLI effects drawn from multiple disciplines and paradigms. We describe the contexts within which CLI gives rise to facilitation and interference and suggest that these two general effects arise from separate mechanisms that are not mutually exclusive. Moreover, we argue that facilitation is ubiquitous, occurring in virtually all instances of CLI, while interference is not always present and depends on levels of cross-language lexical competition. We discuss three critical factors – language context, direction, and modality of CLI – which appear to modulate facilitation and interference. Overall, we hope to provide a general framework for investigating CLI in future research.