The primary purpose of grafting vegetables worldwide has been to provide resistance to soilborne diseases. The potential loss of methyl bromide as a soil fumigant combined with pathogen resistance to commonly used pesticides will make resistance to soilborne pathogens even more important in the future. The major disease problems addressed by grafting include fusarium wilt, bacterial wilt, verticillium wilt, monosporascus root rot, and nematodes. Grafting has also been shown in some instances to increase tolerance to foliar fungal diseases, viruses, and insects. If the area devoted to grafting increases in the future, there will likely be a shift in the soil microbial environment that could lead to the development of new diseases or changes in the pathogen population of current diseases. This shift in pathogen populations could lead to the development of new diseases or the re-emergence of previously controlled diseases. Although grafting has been demonstrated to control many common diseases, the ultimate success will likely depend on how well we monitor for changes in pathogen populations and other unexpected consequences.