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Frequent observations of higher mortality in larger trees than in smaller ones during droughtshave sparked an increasing interest in size-dependent drought-induced mortality. However, theunderlying physiological mechanisms are not well understood, with height-associated hydraulicconstraints often being implied as the potential mechanism driving increased droughtvulnerability. We performed a quantitative synthesis on how key traits that drive plant waterand carbon economy change with tree height within species and assessed the implications thatthe different constraints and compensations may have on the interacting mechanisms (hydraulicfailure, carbon starvation and/or biotic-agent attacks) affecting tree vulnerability to drought.While xylem tension increases with tree height, taller trees present a range of structural andfunctional adjustments, including more efficient water use and transport and greater wateruptake and storage capacity, that mitigate the path-length-associated drop in water potential.These adaptations allow taller trees to withstand episodic water stress. Conclusive evidence forheight-dependent increased vulnerability to hydraulic failure and carbon starvation, and theircoupling to defence mechanisms and pest and pathogen dynamics, is still lacking. Furtherresearch is needed, particularly at the intraspecific level, to ascertain the specific conditions andthresholds above which height hinders tree survival under drought.