Intestinal microflora and probiotic therapy have attracted increasing attention, both in the scientific community, where it is stimulating promising new research, as well as in the consumer market, where food and dietary supplements comprise a growing portion of the self-care health market. As our understanding of the interactions between gut microflora and their host advances, the potential impact of probiotics and prebiotics on human health will develop accordingly. Written by authoritative experts, Probiotics and Prebiotics: Where Are We Going? provides an historical perspective on intestinal microflora and probiotic use, and highlights future directions. The breadth of this reference is impressive, spanning from discussions on genomics of probiotic organisms to reviews on clinical disease prevention with prebiotics. In the initial chapter, the author provides a thorough historical perspective on concepts related to intestinal microecology dating back to Elie Metchnikoff (1845–1916), now considered the inventor of probiotics. The uniqueness of human gut microflora, and the prinicipal of homeostasis, which accounts for the transient nature of probiotic colonization, are major points of emphasis. Brief single sentence synopses at the completion of each section provide useful “take-home” points. Following the introductory chapter, the next several sections cover current techniques involved in identification of intestinal microorganisms, including PCR-based denaturing gradient gel electrophoresis (DGGE), fluorescent in situ hybridization, and terminal-restriction fragment length polymorphism (T-RFLP). The depth to which these technologies are discussed may be useful to those involved in hands-on microbiologic investigation but is clearly beyond the scope of those without such a background. Additional chapters address the role of prebiotics, a much more recent development in dietary intervention, as regulators of the gut ecosystem. Specifically discussed are the established and putative effects of prebiotics on health, including anti-colon cancer properties, lipid-lowering action, improved calcium bioavailability, and enhanced resistance to invading pathogens. The topic of “targeted prebiotics” selectively fermented by particular species of Bifidobacterium and Lactobacillus is introduced as a consideration for several varied applications. Also reviewed are manufacturing technologies for the production of functional carbohydrates, perhaps somewhat beyond the scope of a reference intending to cover the role of gut microflora in health and disease. The text also addresses the influence of the gut microflora on the development of the immune system, specifically as it relates to inflammatory bowel diseases (IBD) and atopic disorders. A thorough summary of in vitro and in vivo data investigating possible therapeutic mechanisms, as well as the clinical efficacy of probiotic microorganisms relevant to inflammatory bowel diseases serves as an excellent resource. Even the infectious etiology theory of Crohn’s disease is touched upon, via a brief overview of data regarding possible disease-initiating and perpetuating microorgansisms. Appropriately, an entire chapter is devoted to the evidence supporting a protective role of microbial colonization against the development of allergic/atopic diseases, and includes a brief look at the epidemiologic basis of the Hygeine Hypothesis. In the final chapter, the expanding role of functional genomics and genetic characterization of particular microorganisms was introduced as a critical means to unequivocally define their contributions to human health. This multifaceted text, which covers topics ranging from intestinal bacteriology identification techniques to the role of probiotic therapy in IBD, will appeal to a wide audience, from microbiologists to food scientists. Clinical gastroenterologists, however, may find the extensive portion of this text devoted to gut microbiology of limited applicability. Bottom Line: A comprehensive review of a timely subject, but with only a few chapters of clinical relevance to gastroenterology practice.