Abstract Aviation enplaments are soaring higher each year and they are deplaning into a system that is already saturated and bulging. The industry must expand and keep pace with this growth but this is being met with fierce opposition. This paper introduces the opposition coalitions and groups that are surmounting. It takes an in depth look at their number one concern, aircraft noise, and the effect it has on the health of those in the local airport communities. Several health studies are referenced and statistical information is offered throughout. Noise abatement is addressed and future growth figures are offered. Opposition To Av