Blockade of local spinal cord inhibition mimics the behavioral hypersensitivity that manifests in chronic pain states. This suggests that there is a pathway capable of mediating allodynia/hyperalgesia that exists but is normally under strong inhibitory control. Lamina I and III neurokinin 1 (NK1) receptor expressing (NK1Rϩ) dorsal horn neurons, many of which are projection neurons, are required for the development of this hypersensitivity and are therefore likely to be a component of this proposed pathway. To investigate, whole-cell patch-clamp recordings were made from lamina I and III NK1Rϩ neurons in the spinal cord slice preparation with attached dorsal root. Excitatory postsynaptic currents were recorded in response to electrical stimulation of the dorsal root. Lamina I NK1Rϩ neurons were shown to receive high-threshold (A␦/C fiber) monosynaptic input, whereas lamina III NK1Rϩ neurons received low-threshold (A fiber) monosynaptic input. In contrast, lamina I neurons lacking NK1 receptor (NK1RϪ) received polysynaptic A fiber input. Blockade of local GABAergic and glycinergic inhibition with bicuculline (10 M) and strychnine (300 nM), respectively, revealed significant A fiber input to lamina I NK1Rϩ neurons that was predominantly A fiber mediated. This novel A fiber input was polysynaptic in nature and required NMDA receptor activity to be functional. In lamina I NK1RϪ and lamina III NK1Rϩ neurons, disinhibition enhanced control-evoked responses, and this was also NMDA receptor dependent. These disinhibition-induced changes, in particular the novel polysynaptic low-threshold input onto lamina I NK1Rϩ neurons, may be an underlying component of the hypersensitivity present in chronic pain states.