Mendelian Randomization is an approach to test for a causal effect from observational data in the presence of certain confounding factors. It uses the measured variation of genes (of known function) to bound the causal effect of a modifiable exposure (environment) on a phenotype (disease). The fundamental idea is that the genotypes are randomly assigned (due to recombination in meiosis under certain assumptions), and this allows them to be used as an instrumental variable.