Drug discovery efforts targeting G-protein-coupled receptors (GPCR) have been immensely successfulin creating new cardiovascular medicines. Currently marketed GPCR drugs are broadly classified as either agonists that activate receptors or antagonists that prevent receptor activation by endogenous stimuli. However, GPCR couple to a multitude of intracellular signaling pathways beyond classical G-protein signals, and these signals can be independently activated by biased ligands to vastly expand the potential for new drugs at these classic targets. By selectively engaging only a subset of a receptor's potential intracellular partners, biased ligands may deliver more precise therapeutic benefit with fewer side effects than current GPCR-targeted drugs. In this review, we discuss the history of biased ligand research, the current understanding of how biased ligands exert their unique pharmacology, and how research into GPCR signaling has uncovered previously unappreciated capabilities of receptor pharmacology. We focus on several receptors to illustrate the approaches taken and discoveries made, and how these are steadily illuminating the intricacies of GPCR pharmacology. Key Words: -arrestin Ⅲ biased ligand Ⅲ G-protein-coupled receptor Ⅲ functional selectivity G -protein-coupled receptors (GPCR, also known as 7 transmembrane receptors) remain the largest class of therapeutic targets in medicine, accounting for one-third of marketed pharmaceuticals. The impact of GPCR-targeted drugs is particularly evident in cardiovascular medicine, in which GPCR modulation is used to control hypertension, stimulate inotropy, and prevent thrombosis, among numerous other applications. Widespread appreciation of these examples led to a now classical approach to GPCR-targeted drug discovery, directing research efforts toward either agonist ligands to increase normal receptor activation or antagonist ligands to block inappropriate or deleterious receptor func-