Treatment for the accidental incorporation of the transuranic elements is mainly dependent on chelation therapy. Most of the therapeutic experience has evolved, justifiably, for the removal of plutonium. The plutonium therapeutic regimens may serve as a rough guide to the treatment of other transuranides, although, quantitatively, dissimilarities based on chemical and incorporated mass differences are to be expected. With the added complication of the biological disposition of the daughter products and the high specific activities of some of the isotopes, any significant incorporation should be treated, and treated promptly.While progress in the treatment of plutonium has been slow, a better understanding of removal from specific tissues, such as liver, bone and lung, for soluble and insoluble plutonium materials, is being achieved. The brightest spot is the ability to remove about half the inhaled particulates, plutonium or other transuranics, from the lung by lung washing. Coupled with the judicious use of chelation therapy this should significantly reduce the hazard from inhaled transuranics.These and other aspects of the treatment for poisoning by the transuranic elements will be discussed.