Intra- and inter-crown distribution of eastern spruce gall adelgid, Adelges abietis (L.) (Homoptera: Adelgidae), on young white spruce, Picea glauca (Moench) Voss., was studied at three sites in New Brunswick, Canada. Within a branch, the majority of galls were found on lateral shoots. Similar distributions of galls within trees were observed regardless of whether 20 or 30 lateral shoots or all shoots on a branch were sampled. Gall densities were highest on mid-crown branches of open-grown trees 1–4 m tall and were not influenced by cardinal direction. After crown closure, most galls were found in the upper crown, above the point of branch overlap. In all circumstances, gall distributions were strongly clumped within trees. Inter-tree distribution of A. abietis galls differed significantly from a Poisson but not a negative binomial distribution, indicating a high degree of aggregation among trees. Therefore, a stratified random sampling plan using 20 lateral shoots of a mid-crown branch as a sampling unit would be adequate for monitoring A. abietis populations. If the mid-crown branches are undergoing crown closure, we suggest sampling in the lowest open-grown branch above the point of crown overlap.