Risk assessment is routinely applied in forensic decision-making. Although relative risk information from risk scales is robust across diverse samples and settings, estimates of the absolute probability of sexual recidivism are not. Nonetheless, absolute recidivism estimates are still necessary in some evaluations. This paper summarizes research and offers guidance on evidence-based practices for assessing the probability of recidivism, organized largely around questions commonly asked in court. Overall, estimating the probability of sexual recidivism is difficult and should be undertaken with humility and circumspection. That being said, research favours empirical-actuarial risk tools for this task, more structured scales, and the use of multiple scales. Professional overrides of risk scale results should not be used under any circumstances. Paradoxically, however, professional judgement is still required in some circumstances. Risk scales do not consider all relevant risk factors, but the added value of external risk factors reaches a point of diminishing returns and may or may not be incremental (or worse, can degrade accuracy). There are reasons actuarial risk scales may both underestimate recidivism (e.g., undetected offending, short follow-ups) and overestimate recidivism (e.g., inclusion of sex offences not of interest in some referral questions, data on declining crime and recidivism rates, newer studies demonstrating overestimation of recidivism). Given all these considerations and the need for humility, in the absence of exceptional circumstances, I would not deviate too far from empirical estimates.