Human–macaque interactions constitute a complex phenomenon influencing perhaps the biology of the macaque more profoundly than ours. At the population level, humans tend to influence the distribution, demography, immunology and even behaviour of the macaque species they interact with though none of these interactions are ever simple. These works at different levels, interacting, in turn, with other environmental factors and most of these impacts are likely to have genetic consequences over the long term. In this chapter, we reviewed available literature on anthropogenic impacts on macaque populations. We should, however, stress that our current state of knowledge, unfortunately, suffers from a serious lack of insight into such genetic impacts. There is, therefore, a dire need for long-term genetic monitoring programmes to understand the effect of anthropogenic factors on the dispersal and demography of different macaque species.