It is generally accepted that visual perception results from the activation of a feed-forward hierarchy of areas, leading to increasingly complex representations. Here we present evidence for a fundamental role of backward projections to the occipitotemporal region for understanding conceptual object properties. The evidence is based on two studies. In the first study, using highdensity EEG, we showed that during the observation of how objects are used there is an early activation of occipital and temporal areas, subsequently reaching the pole of the temporal lobe, and a late reactivation of the visual areas. In the second study, using transcranial magnetic stimulation over the occipital lobe, we showed a clear impairment in the accuracy of recognition of how objects are used during both early activation and, most importantly, late occipital reactivation. These findings represent strong neurophysiological evidence that a top-down mechanism is fundamental for understanding conceptual object properties, and suggest that a similar mechanism might be also present for other higher-order cognitive functions.object use understanding | top-down effect | conceptual knowledge C lassic studies on the neural basis of visual perception showed that neurons located in progressively higher cortical visual areas in the macaque monkey show increasingly complex properties (1-5). On the basis of these findings, it was proposed that neural substrate crucial for visual perception is represented by the higher-order visual areas of the inferior temporal lobe (6-8). Functional MRI (fMRI) data obtained in humans confirmed these findings (9, 10). These data also suggested that the temporal lobe poles are an even higher integration center, where conceptual object properties (e.g., how an object is commonly used) are represented (11-13).Visual information processing has been classically considered to be a feed-forward processing, with perception occurring when the areas at the top of the network become active (6, 14-16). On the other hand, rich anatomical evidence shows that there are massive feedback connections going from higher-order areas back to lower-order areas of the visual ventral stream (17-21). Physiological data also provide evidence for cross-talk between visual areas located at different hierarchical level. In fact transcranial magnetic stimulation (TMS) studies (22-26) reported that single-pulse TMS applied over primary visual areas produces significant perceptual impairment in two distinct time windows: an early one and a late one, relative to the presentation of a visual stimulus. The perception impairment caused by stimulation during the second (late) time window was interpreted as a consequence of an interference with a top-down reactivation of V1 (27,28). A TMS study by Pascual-Leone and Walsh (29) demonstrated that stimulation of area MT/V5 applied 30 ms before the stimulation of V1 affects the activity of this latter region, making participants perceive still rather than moving phosphenes. An analogous cross-talking ef...