Establishing the rupture extent and slip distribution of individual paleo-earthquakes is vital for assessing fault behavior including the persistence of rupture segmentation, recurrence patterns, and similarity of successive events, key issues in both fault mechanics and hazard assessment. Techniques with high temporal and geodetic precision as well as a wide distribution of study sites are necessary to investigate past earthquakes in such detail. Coral microatoll growth is one of the best types of geologic record for paleoseismology and paleogeodesy given these needs, as it provides long, continuous, widely distributed records of centimeter-scale vertical tectonic motion with potentially annual-level temporal precision. This chapter describes the process of interpreting microatoll growth records to obtain time series of relative sea level, tectonic vertical deformation fields, and finally slip and coupling parameters on an underlying fault interface.