Ground-based gamma ray astronomy studies some of the most extreme environments in the universe, from neutron stars to supermassive black holes. Most of the detected sources of TeV gamma rays are episodic or ephemeral by nature. An instrument designed to continuously monitor the entire overhead sky is needed to discover new sources and to observe TeV counterparts of gamma ray bursts. The Milagro all-sky telescope is the first such instrument sensitive to gamma rays with energies below 1 TeV. I will report on the science goals of the instrument, the design and performance of Milagro, recent physics results, and ongoing and planned upgrades to the instrument.