Some models of exercise regulation suggest that exercise performance, rather than being solely limited by the attainment of fatigue in one or more physiological systems, is modulated by psychological factors. Extrapolating from such models, exercise capacity and voluntary performance during exercise in hot environments may be governed by a complex interplay between the physiological effects of hyperthermia along with psychological input stemming from the conscious perception of the thermal environment. Evidence is emerging for a neuroanatomical basis for peripheral and central thermal receptors to elicit both a distinct physiological response such as shivering or sweating along with being mapped into an overall subjective sensation of homeostasis. Experimental evidence supporting this interactivity includes the demonstration that physiological manipulations, such as an increased fitness, appear to confer an attenuation of thermal discomfort during whole-body exercise despite similar levels of physiological strain. At the same time, psychological interventions have proven effective in decreasing perceived thermal strain and extending exercise performance in hot environments. The purpose of this review was to survey the potential interactions between thermal perception and exercise performance in the heat.Humans have proven to be one of the most adaptable vertebrate species in the history of the planet, as evidenced by our ability to tolerate and thrive in a multitude of extreme environments -ranging from the dry heat of the desert or the high humidity levels of the tropics through to the extreme cold found in the polar regions and at high altitudes. Lacking physical (e.g. blubber, fur) or strategic (e.g. hibernation, torpor) adaptations as evidenced by other homeotherms, humans have primarily relied on the physiological responses of sweating, shivering, and alterations in blood flow. However, what makes humans unique and quite remarkable is their highly advanced capacity to behaviorally thermoregulate by such means as the creation of clothing and shelter and the use of tools. Using this combination of behavioral and physiological responses, humans are able to maintain a reasonably constant core body temperature (T c ) of 37 AE 1 1C throughout their lives despite a wide range of ambient temperatures, with generally efficient thermoregulation occurring throughout a T c range of 35-40 1C (Parsons, 1993). Danger occurs if the thermoregulatory system is inadequate, as hyperthermia can impair the physiological capacity for exercise and potentially heat injury and death. Exercise in hot and even temperate environments can also severely impair voluntary exercise performance, with significant decreases in tolerance time to exhaustion (Galloway & Maughan, 1997).Nevertheless, despite our complex behavioral adaptations to the environment, scientific understanding of the role of psychophysiological responses to thermal stimuli and their subsequent influence on exercise performance and tolerance in the cold or heat remains a c...