The Fermilab accelerator complex has been operating Run II since March 2001. In the past year the peak instantaneous luminosity has increased by a factor of 5; performance, however, is still a long way from what is expected. The current status and performance of the accelerator complex areare described, including the Tevatron, Main Injector, Antiproton Source, Proton Source, and Recycler Ring. The accelerator physics and technical issues most important to Run II performance and predictions for improvements in the next 12 months are discussed in detail. Long-range upgrade plans and prospects for reaching an admittedly ambitious long range goal are presented.