Halitosis is a common and ignored condition, but in some, it is a disease-associated health problem, suggestive of overt disease conditions and hasaffected about -% of world's population, bothering nonmedical social disturbance in many people. "lthough two kinds, pseudohalitosis and halitophobia, are also concerned, genuine halitosis originated from the oral cavity, such as gingivitis, caries, and poor oral hygiene, in % and the remaining % are extraoral sources of halitosis, which should not be ignored because of stigmata suggestive of overt tissue dysfunctions, for instance, poor nutrition and hygiene, alcohol abuse, smoking, and systemic illness such as chronic obstructive pulmonary disease, liver cirrhosis, diabetes mellitus, and chronic renal diseases. In this chapter, Helicobacter pylori H. pylori -associated halitosis as one of the extragastric manifestations is introduced. Since diagnostics of halitosis includes subjective methods examiner's sense of smell and objective methods instrumental analysis , under the hypothesis of a possible relationship between H. pylori infection and objective halitosis, the real levels of volatile sulfur compounds VSCs in the breath showed significant correlation between VSC levels and the degree of H. pylori-associated erosive gastritis as well as gastric cancer. These findings are further validated through either measuring H S level in gastric juices of H. pylori-infected gastritis or checking the expressions of cystathionine--lyase CSE and cystathionine--synthase C"S responsible for H S generation in biopsied stomach. The eradication of H. pylori significantly ameliorated halitosis, accompanied with significant reductions in gastric H S levels p< . . Korean red ginseng was very effective in either reducing H. pylori-associated H S or alleviating halitosis in patients with H. pylori-associated chronic atrophic gastritis. Conclusively, H. pylori infection demonstrates to have an important relationship with the development of halitosis, and its eradication could possibly promote the improvement of this condition.