Summary:Perceptual decision-making relies on the gradual accumulation of noisy sensory evidence until a specified boundary is reached and an appropriate response is made. It might be assumed that adding noise to a stimulus, or to the neural systems involved in its processing, would interfere with the decision process. But it has been suggested that adding an optimal amount of noise can, under appropriate conditions, enhance the quality of subthreshold signals in nonlinear systems, a phenomenon known as stochastic resonance. Here we asked whether perceptual decisions obey these stochastic resonance principles by adding noise directly to the visual cortex using transcranial random noise stimulation (tRNS) while participants judged the direction of motion in foveally presented random-dot motion arrays. Consistent with the stochastic resonance account, we found that adding tRNS bilaterally to visual cortex enhanced decision-making when stimuli were just below, but not well below or above, perceptual threshold. We modelled the data under a drift diffusion framework to isolate the specific components of the multi-stage decision process that were influenced by the addition of neural noise. This modelling showed that tRNS increased drift rate, which indexes the rate of evidence accumulation, but had no effect on bound separation or non-decision time. These results were specific to bilateral stimulation of visual cortex; control experiments involving unilateral stimulation of left and right visual areas showed no influence of random noise stimulation. Our study is the first to provide causal evidence that perceptual decision-making is susceptible to a stochastic resonance effect induced by tRNS, and that this effect arises from selective enhancement of the rate of evidence accumulation for sub-threshold sensory events.