Kirpal Nandra The Astrophysics of Black Hole Growth: Current Status and New Horizons I will discuss the present status of studies of accreting supermassive black holes in the Universe, based primarily on their X-ray emission. Processes close to the event horizon are just beginning to be revealed, but the details of how matter flows onto black holes is still poorly understood, as is the apparent connection to phenomena on vastly larger scales. The current generation of X-ray observatories, particularly Chandra and XMM-Newton, have provided new insights into the astrophysics and the demographics of black hole growth. I will review this progress, and look forward to how this work may be taken forward in the future with eROSITA, the International X-ray Observatory (IXO), and a new X-ray observatory concept, GRAVITAS.