Genetic studies of Romani populations (Gypsies) in Europe have provided insights into their origins and population history. Y-chromosome and mitochondrial DNA analyses indicate Romani paternal and maternal lineages originated in South Asia, likely arriving in Europe between the 9th-15th centuries AD. Subsequent isolation and endogamy led to reduced genetic diversity and increased frequencies of disease-causing mutations inherited from a small number of founding ancestors. At least 9 Mendelian disorders have been identified through private mutations shared across European Romani communities. Future studies incorporating Romani culture and history can improve understanding of their population genetics and help design public health programs.