This book constitutes the refereed proceedings of the Second International Conference on Scale Space Methods and Variational Methods in Computer Vision, SSVM 2009, emanated from the joint edition of the 5th International Workshop on Variational, Geometric and Level Set Methods in Computer Vision, VLSM 2009 and the 7th International Conference on Scale Space and PDE Methods in Computer Vision, Scale-Space 2009, held in Voss, Norway in June 2009. The 71 revised full papers presented were carefully reviewed and selected numerous submissions. The papers are organized in topical sections on segmentation and detection; image enhancement and reconstruction; motion analysis, optical flow, registration and tracking; surfaces and shapes; scale space and feature extraction.