Until recent years, relatively little attention has been given to beef cattle transportation management and research in the United States As oulined in this article, it is clear that there are significant physiologic changes occurring in cattle as a result of transport and handling. These physiologic changes encompass, among others, effects on immune system function, disease incidence, and carcass quality. Significant advancements have been made during the past decade in the use of appropriate cattle-handling techniques, facility design,and research promoting our understanding and the attenuation of transport stress. Many issues surrounding livestock transport, such as temperature and ventilation during transit, use of rest stops, pretransit feeding regimens, and incidence of disease transmission via transport vehicles, need further research to enable continued provision of science-based recommendations to the livestock and transportation industries.