Inf lammatory pain manifests as spontaneous pain and pain hypersensitivity. Spontaneous pain ref lects direct activation of specific receptors on nociceptor terminals by inf lammatory mediators. Pain hypersensitivity is the consequence of early posttranslational changes, both in the peripheral terminals of the nociceptor and in dorsal horn neurons, as well as later transcription-dependent changes in effector genes, again in primary sensory and dorsal horn neurons. This inf lammatory neuroplasticity is the consequence of a combination of activity-dependent changes in the neurons and specific signal molecules initiating particular signal-transduction pathways. These pathways phosphorylate membrane proteins, changing their function, and activate transcription factors, altering gene expression. Two distinct aspects of sensory neuron function are changed as a result of these processes, basal sensitivity, or the capacity of peripheral stimuli to evoke pain, and stimulus-evoked hypersensitivity, the capacity of certain inputs to generate prolonged alterations in the sensitivity of the system. Posttranslational changes largely alter basal sensitivity. Transcriptional changes both potentiate the system and alter neuronal phenotype. Potentiation occurs as a result of the up-regulation in the dorsal root ganglion of centrally acting neuromodulators and simultaneously in the dorsal horn of their receptors. This means that the response to subsequent inputs is augmented, particularly those that induce stimulus-induced hypersensitivity. Alterations in phenotype includes the acquisition by A fibers of neurochemical features typical of C fibers, enabling these fibers to induce stimulus-evoked hypersensitivity, something only C fiber inputs normally can do. Elucidation of the molecular mechanisms responsible provides new opportunities for therapeutic approaches to managing inf lammatory pain.Pain is a state-dependent sensory experience. Normally, it is generated only by activation of a specific subset of highthreshold peripheral sensory neurons, the nociceptors, hence nociception-the detection of noxious or tissue-damaging stimuli. Nociception is important for being aware of and reacting to potentially or actually damaging stimuli in the environment. Absence of this capacity, as in individuals with congenital analgesia, results in ongoing tissue damage. Pain is also, of course, a major clinical problem. After inflammation or nerve injury, dramatic alterations in the somatosensory system occur, amplifying responses and increasing sensitivity to peripheral stimuli so that pain can now be activated by normally innocuous or low-intensity stimuli. Clinical pain is an expression, then, of plasticity in the somatosensory system, operating at multiple sites and due to diverse mechanisms. The purpose of this paper is to highlight key features of the plasticity of primary sensory neurons and of the synaptic contacts they make with dorsal horn neurons, the mechanisms that operate to produce this plasticity, and how this relates to t...