Trypanosoma cruzi is a protozoan parasite of humans and animals, affecting 10 to 20 million people and innumerable
animals, primarily in the Americas. Despite being the largest cause of infection-induced heart disease worldwide, even among
the neglected tropical diseases (NTDs) T. cruzi is considered one of the least well understood and understudied. The genetic
complexity of T. cruzi as well as the limited set of efficient techniques for genome engineering contribute significantly to the relative
lack of progress in and understanding of this pathogen. Here, we adapted the CRISPR-Cas9 system for the genetic engineering
of T. cruzi, demonstrating rapid and efficient knockout of multiple endogenous genes, including essential genes. We observed
that in the absence of a template, repair of the Cas9-induced double-stranded breaks (DSBs) in T. cruzi occurs exclusively
by microhomology-mediated end joining (MMEJ) with various-sized deletions. When a template for DNA repair is provided,
DSB repair by homologous recombination is achieved at an efficiency several orders of magnitude higher than that in the absence
of CRISPR-Cas9-induced DSBs. We also demonstrate the high multiplexing capacity of CRISPR-Cas9 in T. cruzi by knocking
down expression of an enzyme gene family consisting of 65 members, resulting in a significant reduction of enzymatic product
with no apparent off-target mutations. Lastly, we show that Cas9 can mediate disruption of its own coding sequence,
rescuing a growth defect in stable Cas9-expressing parasites. These results establish a powerful new tool for the analysis of gene
functions in T. cruzi, enabling the study of essential genes and their functions and analysis of the many large families of related
genes that occupy a substantial portion of the T. cruzi genome.