Current observations of water quality in groundwater discharge from springs in Florida show anthropogenic enrichment of nitrate plus nitrite (NO x -N) generally attributed to fertilizer application and/or wastewater or manure sources in individual spring sheds. Excessive levels of NO x -N have been implicated in eutrophication of, and observed changes in, submerged aquatic vegetation (SAV) communities in several spring runs. While the indirect effects of nitrogen (N) enrichment on SAV, are well-documented (i.e., algal productivity resulting in shading of macrophytes), there is considerably less information available concerning direct effects of NO x -N such as toxicity or inhibition of macrophyte growth. This manuscript constitutes a review of the pertinent literature and synthesis of the current understanding of elevated NO x -N in aquatic systems and the effects on SAV as viewed from the prevailing eutrophication paradigm, as well as, explores the hypothesis that NO x -N may have direct inhibitory effects on SAV growth in Florida springs.