A wide range of non-invasive brain stimulation techniques are currently available which can induce lasting changes in the excitability of the stimulated cortex (Ziemann et al. 2008). Regular repetitive transcranial magnetic stimulation (rTMS) and constant transcranial direct current stimulation (c-tDCS) are well-established stimulation modalities that have now been used for more than 10 years. Other stimulation techniques have only recently been introduced, such as continuous transcranial alternating current stimulation (c-tACS), oscillatory tDCS (o-tDCS) or patterned rTMS protocols. Currently, c-tDCS uses weak currents up to 2 mA which induce currents in the cortex that are far below the threshold for inducing action potentials. The tissue current is still strong enough to polarise the membrane potential of cortical neurons, resulting in lasting shifts in the resting membrane potential and associated changes in postsynaptic spiking activity. These effects are thought to mediate the after-effects of c-tDCS. A different mechanism is emphasized when c-tACS is used to manipulate cortical plasticity. Here the assumption is that the oscillatory current interacts with and shapes intrinsic neural oscillations in the stimulated cortex. Indeed recent studies support this notion showing that c-tACS can interact with brain function in a frequency specific manner (Kanai et al. 2008; Pogosyan et al. 2009). In an article in this issue of The Journal of Physiology, Moliadze et al. (2010) significantly add to this line of research. In healthy volunteers, 10 min of c-tACS of the human motor hand area (M1hand) at 140 Hz but not at 80 Hz enhanced regional corticospinal excitability during and for at least an hour after c-tACS. At 250 Hz, c-tACS also induced an increase in corticospinal excitability but to a lesser extent and with a delayed onset of facilitation. The increase in corticospinal excitability (measured by motor evoked potential amplitude in a hand muscle) was paralleled by a relative decrease in short latency intracortical inhibition (SICI), an electrophysiological marker of GABAA receptor mediated inhibition. Although Moliadze et al. (2010) are cautious to draw firm conclusions, they favour the hypothesis that tACS at 140 Hz targets cortical ripples and the resulting after-effects are due to an interaction between externally applied high frequency oscillation in the ripple range and intrinsic cortical ripple activity in M1hand. This is a possible scenario as ripple oscillations in the frequency range from 80 to 200 Hz have been demonstrated in the cat cortex, yet they are mainly expressed during non-REM sleep (Grenier et al. 2001). Furthermore, pulsed stimulation in the ripple range (130 Hz) of afferents to the subthalamic nucleus is therapeutically effective in Parkinsonian rodents (Gradinaru et al. 2009) and is being used for deep brain stimulation in human patients. The perspective that transcranial stimulation can be tuned to specifically target cortical oscillatory in specific frequency bands is intriguing. Oscillatory patterning of neuronal activity in different frequency bands supports temporal coding of different aspects of cortical processing (Singer, 2009). Therefore, transcranial stimulation protocols that can efficiently manipulate specific oscillatory activity might be more efficient and specific with respect to shaping specific brain functions than conventional regular rTMS or c-tDCS. At first glance, it seems straightforward to postulate that transcranial stimulation protocols should mimic as close as possible the temporal pattern of the intrinsic cortical oscillations that one wishes to modulate with transcranial stimulation. However, a number of general questions need to be clarified.