This document is the 2018 Annual Report of the U.S. Commission on International Religious Freedom (USCIRF). It discusses religious freedom conditions around the world and makes policy recommendations. The report finds that in 2017, religious freedom conditions in several countries deteriorated, including Burma due to violence against Rohingya Muslims. It recommends that the U.S. designate several countries as "Countries of Particular Concern," including Burma, China, Iran, Pakistan, Syria, and others. The report urges the U.S. to use sanctions and other tools to promote religious freedom.