It has been almost two decades since the first demonstration of hydrogen sulfide (H 2 S) as a physiological mediator of cognitive function and vascular tone. H 2 S is physiologically important because it protects various organs from ischemia-reperfusion injury besides regulating inflammation, oxygen sensing, cell growth, and senescence. The production, metabolism, and regulation of H 2 S have been studied extensively. H 2 S modulates target proteins through sulfhydration (or sulfuration) or by the reduction of cysteine disulfide bonds. A large number of novel H 2 S-donating compounds are being developed owing to the therapeutic potential of H 2 S. Recently, polysulfides, rather than H 2 S, have been identified as molecules that sulfhydrate (or sulfurate) their target proteins. Antioxid. Redox Signal. 22, 347-349.