Beak trimming is used in the egg industry to prevent mortality from cannibalism and minimise injurious pecking, vent pecking, aggressive pecking at the head and all forms of feather pecking, although the practice does not completely reduce the damage. There are alternatives to beak trimming, but they have not been reliable in preventing injurious pecking. However, beak trimming should not be used without providing birds enriched indoor and outdoor environments. Even when birds are beak trimmed, providing enriched facilities is recommended. The two main methods of beak trimming are hot blade (HB) and infrared beak treatment (IRBT). HB trimming removes the beak tips and cauterises the beak stump. The IRBT method uses heat from an infrared lamp to treat the outer beak and the underlying tissue. Initially, the tips of the beak remain intact and then soften and wear as the bird uses its beak. In contrast, the HB method results in an open wound that takes 3 weeks to heal. Two major welfare issues arise from beak trimming. The first is loss of sensory input because of removal of or heat treatment of sensory receptors in the beak. The second issue is the potential for acute and chronic pain from severing or heat treatment of nerves. HB trimming initially results in acute pain but there is limited evidence for beak sensitivity in IRBT birds. The development of neuromas in the beak have been implicated as a cause of chronic pain after HB trimming. When birds are HB trimmed (one-half of upper beak; one-third of lower) in the first 10 days of life, neuromas will develop, but they will resolve, compared with birds trimmed at older ages. However, neuromas will not resolve in 10-day old birds if more than one-half of the beak is HB trimmed. While HB trimming is performed according to accreditation standards by removal of one-half the upper beak and one-third of the lower beak is considered excessive, it prevents beak regrowth and the need to subject birds to re-trimming and a second bout of acute pain from the beak wound. Current levels of IRBT to treat half of the beak using the vendors quality-assurance protocol have been implemented worldwide to ensure that neuroma formation is prevented; however, if severe levels of IRBT are used, acute pain and subsequent neuromas may persist. The main impact of beak trimming is how the bird uses its beak when it eats, drinks and pecks at other birds and the environment. Reduced feed intake after HB trimming indicates pain associated with pecking or difficulty in eating. HB-trimmed birds initially show an increase in listlessness and guarding behaviours and increased inactivity, which indicates pain. IRBT and HB-trimmed birds have fewer aggressive pecks at the head, and there is a reduction in severe feather pecking and better feather scores, which results in a large reduction in mortality. Depending on the severity of IRBT and HB trimming, the advantage of using IRBT is improved welfare.