The Methiini of the West Indies are revised. Cyanomethia pseudothonalmus, new genus, new species and Methia jamaicensis new species are described. Methia pusilla, M. constricticollis, M. impressicollis, M. insularum, M. pallida, M. pulchra, M. punctata, and M. rhizophorae are new synonyms of M. necydalea. Keys to genera of Methiini and species of Methia in the West Indies are given and the biology and morphological variation of the genus Methia discussed. A phylogenetic analysis of the Methiini is conducted to determine relationships among the genera, and the zoogeographic patterns of species found in the West Indies is included.