The most comprehensive source of data on the size and structure of global over-the-counter (OTC) foreign exchange (FX) market turnover is the Bank for International Settlements’ (BIS) Triennial Central Bank Survey (Triennial Survey). The BIS has been conducting this survey every three years since 1986, with South Africa participating from April 1992. The analysis in this article is based on the most recent 2022 BIS Triennial Survey, rendering data for April 2022. The OTC FX market, being the largest global financial market in terms of turnover along with strong growth over time (April 2013 to April 2019), is important in the context of central bank responsibilities due to interlinkages with both monetary policy and financial stability. This article analyses and discusses the most recent trends as indicated by the 2022 Triennial Survey.