Peste des Petits Ruminants (PPR) is a contagious viral infection of both wild and domestic cloven-hoofed small ruminants, characterized by fever, pneumonia, profuse diarrhoea, and inflammation of the mucous membrane of the respiratory and digestive tracts. Depending upon the extent of predisposing factors and the virulence of the virus, PPR severity can be classified as peracute, acute, subacute, and subclinical, but usually PPR follows an acute course of infection. Pathogenesis of PPR starts with the multiplication of the virus in the regional lymph nodes and, after a state of viraemia, the virus disseminates to the surrounding susceptible epithelial tissues. In these tissues, the virus causes observable cytopathic effects that lead to clinical signs and lesions, depending upon the predisposing factors of the host. Zebra striping, developing as a result of severe congestion along the longitudinal folds of the cecum, proximal colon, and rectum, is considered a pathognomonic sign. Despite the viremic state of the disease, the histological changes are more prominent in the oral and intestinal mucosa, where they form multinucleated syncytial cells. Recovered animals show strong immunity, and there is no chronic and convalescent carrier state in PPR. In this chapter, these facts of PPRV are covered comprehensively, and the current literature is reviewed critically.