X-rays from the first massive black holes

X-ray studies of high-redshift (z > 4) active galaxies have advanced substantially over the past few years, largely due to results from the new generation of X-ray observatories. As of this writing X-ray emission has been detected from nearly 60 high-redshift active galaxies. This paper reviews the observational results and their implications for models of the first massive black holes, and it discusses future prospects for the field.