Structural biology has provided a fundamental understanding of protein structure and mechanistic insight into their function. However, high-resolution structures alone are insufficient for a complete understanding of protein behavior. Higher energy conformations, conformational changes, and subtle structural fluctuations that underlie the proper function of proteins are often difficult to probe using traditional structural approaches. Solution state structural techniques are needed to interrogate the dynamic nature of proteins under native conditions. Hydrogen/deuterium exchange with mass spectrometry (HDX-MS) provides a means to probe the accessibility of backbone amide protons under native conditions, which reports on local structural dynamics of solution protein structure. HDX-MS also provides a tool for tracking complex structural rearrangements that occur in the course of a protein’s function. Here we review recent advances in HDX methodology and highlight some novel applications where HDX has shed light on particularly challenging systems.