Abstract-Angiotensin II exerts a potent role in the control of hemodynamic and renal homeostasis. Angiotensin II is also a local and biologically active mediator involved in both endothelial and smooth muscle cell function acting on 2 receptor subtypes: type 1 (AT 1 R) and type 2 (AT 2 R). Whereas the key role of AT 2 R in the development of the embryo has been extensively studied, the role of AT 2 R in the adult remains more questionable, especially in humans. In vitro studies in cultured cells and in isolated segments of aorta have shown that AT 2 R stimulation could lead to the production of vasoactive substances, among which NO is certainly the most cited, suggesting that acute AT 2 R stimulation will produce vasodilation. However, in different organs or in small arteries isolated from different type of tissues, other vasoactive substances may also mediate AT 2 R-dependent dilation. Sometimes, such as in large renal arteries, AT 2 R stimulation may lead to vasoconstriction, although it is not always seen. In isolated arteries submitted to physiological conditions of pressure and flow, AT 2 R stimulation may also have a role in shear stress-induced dilation through a endothelial production of NO. Thus, when acutely stimulated, the most probable response expected from AT 2 R stimulation will be a vasodilation. Therefore, in the perspective of a chronic AT 1 R blockade in patients, overstimulation of AT 2 R might be beneficial, given their potential vasodilator effect. Concerning the possible role of AT 2 R in cardiovascular remodeling, the situation is more controversial. In vitro AT 2 R stimulation clearly inhibits cardiac and vascular smooth muscle growth and proliferation, stimulates apoptosis, and promotes extra cellular matrix synthesis. In vivo, the situation might be less beneficial if not deleterious; indeed, if chronic AT 2 R overstimulation would lead to cardiovascular hypertrophy and fibrosis, then the long-term consequences of chronic AT 1 R blockade, and thus AT 2 R overstimulation, require more in-depth analysis. (Hypertension. 2001;38: 1150-1157.)