Since the integration of electronic devices and intelligent electronic devices into the power grid, power quality (PQ) has consistently remained a significant concern for system operators and experts. Maintaining high standards of power quality is crucial to prevent malfunctions and faults in electric assets and in connected loads. Recently, PQ studies have shifted their focus to a specific frequency range, previously not considered problematic, the supraharmonic 2kHz–150kHz range. This range is not populated by the harmonic components of the 50-60 Hz mains fundamental, but a combination of intentional emissions, switching and non-linearity by-products and various types of resonances. This paper aims to provide a detailed analysis of the impact of SH on power network operation and assets, focusing on the most relevant documented negative effects, namely power loss and heating of grid elements, aging of dielectric materials, failure of medium voltage (MV) cable terminations, and interference to equipment and to power line communication (PLC) technology in particular. Under some shareable assumptions limits are derived and compared to existing ones for harmonic phenomena, providing a clear identification of the primary issues associated with supraharmonics and suggestions for the standardization process. Strictly related is the problem of grid monitoring and assessment of SH distortion, discussing the suitability of normative requirements for instrument transformers (ITs) with specific focus on their accuracy.