DNA is a remarkable macromolecule that functions primarily as the carrier of the genetic information of organisms ranging from viruses to bacteria to eukaryotes. The ability of DNA polymerases to efficiently and accurately replicate genetic material represents one of the most fundamental yet complex biological processes found in nature. The central dogma of DNA polymerization is that the efficiency and fidelity of this biological process is dependent upon proper hydrogen-bonding interactions between an incoming nucleotide and its templating partner. However, the foundation of this dogma has been recently challenged by the demonstration that DNA polymerases can effectively and, in some cases, selectively incorporate non-natural nucleotides lacking classic hydrogen-bonding capabilities into DNA. In this review, we describe the results of several laboratories that have employed a variety of non-natural nucleotide analogs to decipher the molecular mechanism of DNA polymerization. The use of various non-natural nucleotides has lead to the development of several different models that can explain how efficient DNA synthesis can occur in the absence of hydrogen-bonding interactions. These models include the influence of steric fit and shape complementarity, hydrophobicity and solvation energies, basestacking capabilities, and negative selection as alternatives to rules invoking simple recognition of hydrogen bonding patterns. Discussions are also provided regarding how the kinetics of primer extension and exonuclease proofreading activities associated with high-fidelity DNA polymerases are influenced by the absence of hydrogen-bonding functional groups exhibited by non-natural nucleotides.DNA polymerases are responsible for chromosome replication, and many play essential roles in DNA repair and recombination. These enzymes add mononucleotides onto the 3′-end of a primer strand using the complementary strand as a template ( Figure 1A). Viewing DNA in this simple two-dimensional projection gives the impression that hydrogen-bonding interactions between the template base and the base of the incoming nucleotides are the most powerful physical forces that stabilize the conformation and structure of nucleic acid. By inference, these hydrogen-bonding interactions are thought to be the primary determinants in base pair recognition during the polymerization reaction. In this case, the mutual recognition of adenine (A)1 by thymine (T) and of guanine (G) by cytosine (C) involves hydrogenbonding interactions between each partner ( Figure 1B). At the atomic level, the non-sp2