Background: Selenocysteine (Sec) incorporation requires the function of a unique translation elongation factor, eEFSec. Results: The novel Domain IV of eEFSec is required for at least three functions. Conclusion: Domain IV of eEFSec is the key site for dictating specificity in the conversion of the UGA stop codon into a Sec codon. Significance: Understanding elongation factor function is critical to deciphering the mechanism of Sec incorporation.