Many organs containing smooth muscle are myogenically active. This was assumed to originate from activity within the individual smooth muscle cells. Some smooth muscle cells have low resting membrane potentials and generate myogenic activity, in much the same way as cardiac pacemaker cells, through the sequential activation of voltage-dependent ion channels (see for example Anderson, 1993). In others, myogenic activity originates from the cyclic release of calcium ions (Ca¥) from stores inside the smooth muscle cells (Van Helden, 1993;Hashitani et al. 1996). Many regions of the gastrointestinal tract generate slow waves and contract rhythmically at low frequencies in the absence of stimulation (Tomita, 1981;Sanders, 1992). Again it was initially thought that the generation of slow waves reflected some properties of gastrointestinal smooth muscle cells (Connor et al. 1974;El-Sharkaway & Daniel, 1975;Tomita, 1981). More recently it has been suggested that slow waves result from the interaction between two distinct groups of cells: one group acts as pacemaking cells and activates a second group which generates slow waves. Several observations suggest that activity originates in interstitial cells of Cajal (ICC), and that smooth muscle cells, rather than initiating activity, act as follower cells. ICC form diffuse networks of cells which are thought to be linked together as electrical syncytia (Thuneberg, 1982). When ICC lying near the submucous border of the circular muscle layer of dog colon are dissected away, nearby smooth muscles stop generating slow waves (Smith et al. 1987). Intestinal preparations taken from mice devoid of ICC fail to generate normal slow waves (Ward et al. 1994;Huizinga et al. 1995).