The current study claims that measures of sexual recidivism provide a distorted view of the criminal activity of adult sex offenders. To address this important limitation, the criminal career perspective is presented and key concepts are defined and described. The study also provides an up-to-date review of the scientific literature on various criminal career parameters of the sexual criminal activity of adult sex offenders. Hence, current empirical knowledge on the prevalence, age of onset, frequency, continuity, versatility, and desistance from sex offending is presented. The findings highlight the complexities of the sexual criminal career of adult sex offenders, and most importantly, its dynamic aspect, both of which are not captured by traditional measures of sexual recidivism. The review also underscores the importance of recognizing that sexual offending develops according to a series of stages, that, if not recognized, may lead to the underestimation of risk for some and over-estimation of risk for others. The review provides a framework to stimulate new areas of research as well as policy-development that is not limited to the identification of the "high-risk" convicted sex offenders.