A Practice Note discussing US Patent and Trademark Office (USPTO) trademark refusals to register based on Lanham Act Sections 2(e)(2) and 2(e)(3) (15 U.S.C. § 1052(e)(2), (3)), refusing the proposed mark as primarily geographically descriptive or primarily geographically deceptively misdescriptive of the goods or services in the application. Topics discussed include the nature of geographic refusals and key considerations for responding to them.