During the 1990s and into the 21st century, divisions within the Catholic Church have ripened into hatred and contempt and the Vatican is making little or no attempt to heal the antagonism. This text surveys the state of the Church throughout the world and suggests that a major schism in the Church is imminent unless the papacy determines to heal the rifts between conservatives and liberals, orthodoxy and pluralism. Amongst other things, the survey examines the role of women, the split between teaching and practice on sexual morals and the changing face of the priesthood.