The concept of ligand−receptor binding kinetics has been broadly applied in drug development pipelines focusing on G protein-coupled receptors (GPCRs). The ligand residence time (RT) for a receptor describes how long a ligand−receptor complex exists, and is defined as the reciprocal of the dissociation rate constant (k off ). RT has turned out to be a valuable parameter for GPCR researchers focusing on drug development as a good predictor of in vivo efficacy. The positive correlation between RT and in vivo efficacy has been established for several drugs targeting class A GPCRs (e.g., the neurokinin-1 receptor (NK 1 R), the β 2 adrenergic receptor (β 2 AR), and the muscarinic 3 receptor (M 3 R)) and for drugs targeting class B1 (e.g., the glucagon-like peptide 1 receptor (GLP-1R)). Recently, the association rate constant (k on ) has gained similar attention as another parameter affecting in vivo efficacy. In the current perspective, we address the importance of studying ligand−receptor binding kinetics for therapeutic targeting of GPCRs, with an emphasis on how binding kinetics can be altered by subtle molecular changes in the ligands and/or the receptors and how such changes affect treatment outcome. Moreover, we speculate on the impact of binding kinetic parameters for functional selectivity and sustained receptor signaling from endosomal compartments; phenomena that have gained increasing interest in attempts to improve therapeutic targeting of GPCRs. KEYWORDS: association rate constant (k on ), dissociation rate constant (k off ), residence time (RT), ligand−receptor binding kinetics, G protein-coupled receptors (GPCRs)