Over the past several years, tokamak neutral beam injection experiments have evolved from the brute force study of the effects of global discharge characteristics (Ip, n̄e, Pheat, etc.) on energy confinement to the appreciation that there are effects more subtle, yet controllable, that may influence confinement dramatically. While this evolution from first to second generation experiments is derived from an empirical understanding of ‘‘low’’ and ‘‘high’’ energy confinement modes and how to achieve them operationally, the underlying physics is still unknown. Several theories with different physical bases appear to describe the global scaling of the low confinement mode discharges quite well. On the other hand, little agreement has been found between theoretical and experimentally deduced values of local transport coefficients. While it is known operationally how to achieve any one of several types of high confinement mode discharges, here too, the underlying physics of the transport associated with these modes is poorly understood.