Many human tumor cells are characterized by overexpression or mutation of epidermal growth factor receptor (EGFR). Emerging evidence indicates that EGFR, as well as some of its downstream components, can translocate to the nucleus and play roles in transcriptional regulation, signaling conduction and repair of DNA double strands breaks (DSBs). EGFR in its nuclear manifestation promotes DSB repair by interacting with proteins including DNA-PK, ATM, Rad51 and BRCA1, involved in DSB repair, via the PI3K-Akt and Ras-Raf-MAPK pathways. DNA damage repair in tumor cells is emerging as an attractive target in radiotherapy and chemotherapy. Interruption of EGFR functions, or those of its downstream components, presents a promising strategy for confounding DNA damage repair in tumor cells. The epidermal growth factor receptor (EGFR) belongs to the Type I subfamily of receptor tyrosine kinases (RTKs), which includes four closely related receptors: Her-1/ErbB1, Her-2/Neu/ErbB2, Her-3/ErbB3 and Her-4/ErbB4. EGFR is a 170-kD transmembrane glycoprotein composed of 1186 aa residues. Structurally EGFR has an extracellular ligandbinding domain, a transmembrane domain, and an intracellular tyrosine kinase domain (TKD). The function and downstream signaling of EGFR as a cell surface receptor have been documented by a substantial body of literature. It is becoming abundantly clear, however, that aside from its duties in the cell membrane, EGFR and some of its downstream components translocate to the nucleus where they have various regulatory functions, such as transcriptional regulation and repair processes. Among these, the function of nuclear EGFR as a regulator of double strands breaks (DSBs) is of particular importance [1]. In this article, we review the current knowledge regarding EGFR modulation of DNA damage repair.