Advanced structural materials are expected to display significantly improved mechanical properties and this may be achieved, at least in part, by refining the grain size to the submicrometer or the nanocrystalline range. This report provides a detailed summary of the role of grain size in the mechanical properties of metals. The effect of grain size on the high temperature behavior and the development of superplasticity is illustrated using deformation mechanism maps and the development of exceptional strength through grain refinement hardening at low temperatures is also discussed. It is shown that the deformation mechanism of grain boundary sliding, as developed theoretically, can be used to effectively predict both the high and low temperature behavior of metals having different grain sizes. This analysis explains the increase in strain rate sensitivity in ultrafine-grained metals with low and moderate melting points and the ability to increase both the strength and ductility of these materials to thereby overcome the strength-ductility paradox. The recent development of hybrid materials is also reviewed and it is demonstrated that, although these hybrids have received only limited attention to date, they provide a potential for making significant advances in the production of new structural materials.