The flow of a single-phase fluid through a rough-walled rock fracture is discussed within the context of fluid mechanics. The derivation of the ‘cubic law’ is given as the solution to the Navier-Stokes equations for flow between smooth, parallel plates - the only fracture geometry that is amenable to exact treatment. The various geometric and kinematic conditions that are necessary in order for the Navier-Stokes equations to be replaced by the more tractable lubrication or Hele-Shaw equations are studied and quantified. In general, this requires a sufficiently low flow rate, and some restrictions on the spatial rate of change of the aperture profile. Various analytical and numerical results are reviewed pertaining to the problem of relating the effective hydraulic aperture to the statistics of the aperture distribution. These studies all lead to the conclusion that the effective hydraulic aperture is less than the mean aperture, by a factor that depends on the ratio of the mean value of the aperture to its standard deviation. The tortuosity effect caused by regions where the rock walls are in contact with each other is studied using the Hele-Shaw equations, leading to a simple correction factor that depends on the area fraction occupied by the contact regions. Finally, the predicted hydraulic apertures are compared to measured values for eight data sets from the literature for which aperture and conductivity data were available on the same fracture. It is found that reasonably accurate predictions of hydraulic conductivity can be made based solely on the first two moments of the aperture distribution function, and the proportion of contact area.