We consider a subset of the physical processes that determine the spin j \equiv a / M of astrophysical black holes . These include : ( 1 ) Initial conditions . Recent models suggest that the collapse of supermassive stars are likely to produce black holes with j \sim 0.7. ( 2 ) Major mergers . The outcome of a nearly equal mass black hole-black hole merger is not yet known , but we review the current best guesses and analytic bounds . ( 3 ) Minor mergers . We recover the result of Blandford & Hughes that accretion of small companions with isotropically distributed orbital angular momenta results in spindown , with j \sim M ^ { -7 / 3 } . ( 4 ) Accretion . We present new results from fully relativistic magnetohydrodynamic accretion simulations . These show that , at least for one sequence of flow models , spin equilibrium ( dj / dt = 0 ) is reached for j \sim 0.9 , far less than the canonical value 0.998 of Thorne that was derived in the absence of MHD effects . This equilibrium value may not apply to all accretion flows , particularly thin disks . Nevertheless , it opens the possibility that black holes that have grown primarily through accretion are not maximally rotating .