On the shores of the Northeast Pacific Coast, research programs have monitored the rocky intertidal zone for multiple decades across thousands of kilometers, ranking among the longest-term and largest-scale ecological monitoring programs in the world. These programs have produced powerful datasets using simple field methods, and many are now capitalizing on modern field-sampling technology and computing power to collect and analyze biological information at increasing scale and resolution. Considering its depth, breadth, and cutting-edge nature, this research field provides an excellent case study for examining the design and implementation of long-term, large-scale ecological monitoring. I curated literature and interviewed 25 practitioners to describe, in detail, the methods employed in 37 community-level surveys by 18 long-term monitoring programs on the Northeast Pacific Coast, from Baja California, México, to Alaska, United States of America. I then characterized trade-offs between survey design components, identified key strengths and limitations, and provided recommendations for best practices. In doing so, I identified data gaps and research priorities for sustaining and improving this important work. This analysis is timely, especially considering the threat that climate change and other anthropogenic stressors present to the persistence of rocky intertidal communities. More generally, this review provides insight that can benefit long-term monitoring within other ecosystems.