Recent functional imaging studies demonstrated that both the left and right supramarginal gyri (SMG) are activated when healthy right-handed subjects make phonological word decisions. However, lesion studies typically report difficulties with phonological processing after left rather than right hemisphere damage. Here, we used a unique dual-site transcranial magnetic stimulation (TMS) approach to test whether the SMG in the right hemisphere contributes to modality-independent (i.e., auditory and visual) phonological decisions. To test task-specificity, we compared the effect of real or sham TMS during phonological, semantic, and perceptual decisions. To test laterality and anatomical specificity, we compared the effect of TMS over the left, right, or bilateral SMG and angular gyri. The accuracy and reaction times of phonological decisions were selectively disrupted relative to semantic and perceptual decisions when real TMS was applied over the left, right, or bilateral SMG. These effects were not observed for TMS over the angular gyri. A follow-up experiment indicated that the threshold-intensity for inducing a disruptive effect on phonological decisions was identical for unilateral TMS over the right or left SMG. Taken together, these findings provide converging evidence that the right SMG contributes to accurate and efficient phonological decisions in the healthy brain, with no evidence that the left and right SMG can compensate for one another during TMS. Our findings motivate detailed studies of phonological processing in patients with acute or long-term damage of the right SMG.M any previous functional imaging studies have shown that the left and right supramarginal gyri (SMG) are activated when right-handed participants make decisions about the sounds of words (i.e., their phonology) compared with decisions about their meanings (i.e., their semantics) (1-4). However, the functional significance of right SMG activation is unclear because lesion studies have reported phonological difficulties following left rather than right temporo-parietal lesions (5-8). Consequently, anatomical models of phonological processing have included left but not right parietal cortex (9, 10). The present study was designed to address the discrepancy between functional imaging and lesion studies. More specifically, we examined how "online" transcranial magnetic stimulation (i.e., TMS during a task) over the left and right SMG influences phonological word processing in healthy subjects (Fig. 1). We used the neurodisruptive effect of TMS to distinguish between three alternative hypotheses to explain right SMG activation with phonological processing.Hypothesis 1 is that right SMG only contributes to the speed but not the accuracy of phonological decisions. Consequently, right SMG lesions have a subtle effect on phonological processing that might be missed unless reaction times were measured. In this case, we expect a selective effect of right SMG TMS on reaction times in the healthy brain without affecting error rates.Hypothesis 2 i...