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Many factors are driving interest in improving soil health in potato production systems in the U.S. Pacific Northwest and beyond, including the need for enhanced sustainability and economic viability, and consumer preferences. Potato production poses a particular challenge in terms of soil health due to intensive tillage, minimal residue left on fields, short rotations, and the importance of managing soilborne pathogens. This review discusses existing soil health assessment methods and their relevance for the region and summarizes results of studies conducted in the Pacific Northwest and beyond, examining practices aimed at improving soil health and their effects on soil health, soilborne pathogens, yield and quality of potatoes, and net returns in potato production systems. These practices include reducing tillage; adjusting crop rotation length and species composition; reducing fumigation; and using cover crops, green manures, and organic amendments. [ABSTRACT FROM AUTHOR]