While the public and governments debate the advisability of engaging in shale gas production, the United States has proceeded to develop its resources with an accompanying remarkable increase in natural gas production. The development of shale gas has not been without problems, and some countries have decided that shale gas production should not proceed until more is known about the accompanying health issues and environmental damages. From experiences in the United States, careful consideration of five critical points relating to shale gas production can form the basis for developing strategies for reducing discharges of pollutants: (1) casing and cementing, (2) handling wastewater, (3) venting and flaring, (4) equipment with air emissions, and (5) seismic events. For each strategy, institutional responses to markedly reduce the risks of harm to people and the environment are identified. These responses offer state and local governments ideas for enabling shale gas resources to be developed without sacrificing public health and environmental quality.