Results of theoretical and experimental investigations into a relativistic backward wave oscillator with a modulating resonant reflector are generalized. The modulating resonant reflector is used to reflect a counter propagating wave and guide it toward an electron collector. It is shown that premodulation of the electron beam near the reflector may have a significant effect on the starting conditions of oscillation; selective properties of the oscillator; and its efficiency, which may reach 40% when a high-current beam is transported by a strong magnetic field. In the reduced magnetic fields that were employed in the pulsed-periodic regime and were 1.5–2.0 times lower than those at which cyclotron resonance with the counter propagating wave is observed, the oscillator efficiency (30–35% at a wavelength of 8 mm) is limited by position and velocity spreads of particles. Mechanical pulsewise frequency tuning within about 10% at a repetition rate of 1–50 Hz and a multigigawatt microwave power, as well as a rise in the power and energy of microwave pulses via an increase in the cross-sectional dimensions of the slow-wave structure, are demonstrated to be feasible.