ABSTRACT. Viewing a bivariate polynomial f ∈ R[x, t] as a family of univariate polynomials in t parametrized by real numbers x, we call f real rooted if this family consists of monic polynomials with only real roots. If f is the characteristic polynomial of a symmetric matrix with entries in R[x], it is obviously real rooted. In this article the converse is established, namely that every real rooted bivariate polynomial is the characteristic polynomial of a symmetric matrix over the univariate real polynomial ring. As a byproduct we present a purely algebraic proof of the Helton-Vinnikov Theorem which solved the 60 year old Lax conjecture on the existence of definite determinantal representation of ternary hyperbolic forms.