A review of Permian fusuline biostratigraphy is made in this paper in order to improve the correlation of Permian strata globally. Permian fusuline biostratigraphy in the Tethyan and Panthalassan regions can be correlated roughly because the fusulines had good faunal communications between these two regions. However, fusuline faunas from the North American Craton region were devoid of almost all neoschwagerinids and dominated exclusively by schwagerinids during the Guadalupian (Middle Permian) because of the blockage caused by the vast Pangaea supercontinent. This renders the correlation of Middle Permian biostratigraphy and chronostratigraphy between the Tethyan region and North American region challenging. Significant evolutionary key points in fusulines include the first occurrence of Pseudoschwagerina or Sphaeroschwagerina during the earliest Permian, first occurrence of Pamirina and Misellina during the Yakhtashian and Bolorian, and the extinction of all schwagerinids and neoschwagerinids by the end of the Midian.