On April 12 , 1961, Cosmonaut Gagarin first orbited the earth, to be followed 23 days later by the suborbital flight of Astronaut Sheppard. Thus ten years have elapsed since man's first experience in a true space environ ment. In these ten years we have witnessed a tremendous surge of interest and conjecture on the physiological effects of space flight, followed by the emergence of a new investigative science. At this writing, the USSR has an nounced the establishment of a large manned orbiting laboratory (June 10, 1971). Such an accomplishment may begin a new era in controlled phys iological testing in space. This then is a propitious time to review the research efforts in space physiology, and to take stock of what has been done and of what has need of further investigative effort. A rather formidable array of journal articles, books, and technical reports has appeared in the last five years. This author has reviewed with varying degrees of interest and intensity approximately 800 articles, of which 89 are cited in this review. Most effort has been directed toward reports published in established scientific journals, since many of the hundreds of technical reports are repetitious or nonscientific. Page limitations have forced the omission of many aspects of space physiology. I have tried to select subject matter which is applicable yet fits into the general scheme of physiology as seen from my own bias. Many areas such as neurophysiology, sensory deprivation, radiation biology, biorhythms and human engineering are omitted because, in some cases, applications to actual space physiology are not well documented. Most of this review deals with the investigation of increased gravitational effects, in which a sophis ticated level of research has been reached, and with the effects of decreased gravity, where greater sophistication is required.