Helminth secretomes comprise many potential immunomodulators. The molecular and functional diversity of these entities and their importance at the host-parasite interface have been increasingly recognized. It is now common to hypothesize that parasite-derived molecules (PDMs) are essential mediators used by parasites to establish and remain in their hosts. Suppression of PDM release has been reported for two anthelmintic drug classes, the benzimidazoles and macrocyclic lactones, the mechanisms of action of which remain incompletely resolved. We propose that bringing together recent insights from different streams of parasitology research, for example, immunoparasitology and pharmacology, will stimulate the development of new ways to alter the host-parasite interface in the search for novel anthelmintic strategies. Altering the Host-Parasite Interface as a Strategy for Helminth Control Mammals, including humans, have been selected through evolution for resistance to almost all parasites. Nonetheless, certain species of parasites have evolved the ability to infect selected host species (permissive hosts) by overcoming or manipulating the normally highly effective host immune system. Understanding how parasite species colonize permissive hostswhile being excluded from nonpermissive hostshas been a long-standing challenge in parasitology research, but recent advances in our ability to decipher the language of the host-parasite interface have begun to illuminate key factors that determine the outcome of this interaction [1]. The intriguing possibility of rationally converting permissive into nonpermissive hosts as a therapeutic strategy warrants more research into the composition of parasite secretomes (see Glossary), identification of the molecules that enable them to establish in the host, and the mechanisms by which these molecules are released to the host milieu. Helminths are complex metazoan organisms that belong to different taxonomic families, many members of which have adopted a parasitic lifestyle. The pathologies they cause in humans and animals, and their deleterious impact on crop production, represent threats to socioeconomic development [2-5]. In addition, progression of drug resistance has been rapid, especially among livestock parasites [5,6]. Expansion of the toolkit for helminth control is urgently needed, as is the acquisition of a deeper understanding of the mechanisms behind current anthelmintic therapies, which might, in turn, inspire new approaches to therapeutic intervention. Focusing on nematodes, we present scenarios in which anthelmintic therapy seems to alter host-parasite crosstalk via the suppression of parasite excretion/secretion processes. We further propose that current anthelmintic screening approaches, from empirical to rational, should be expanded to incorporate these processes as an important source of drug targets. The literature suggests that these basic principles apply to helminths beyond the phylum Nematoda.