Reactions induced by heavy ions have been extensively studied in recent time (see for example the recent topical conferences). Specifically, direct reactions induced by heavy ions like elastic and inelastic scattering and transfer reactions rely on rather complicated experimental techniques for particle identification and methods of theoretical analysis. There has been in recent time considerable progress in both experimental techniques and in the understanding of the reaction mechanisms. At present stage nuclear structure studies with direct reactions induced by heavy ions should indeed yield the information people believed should be obtainable. The situation is, however, by no means clear in all respects and there is considerable work to be done on the new improved accelerators to establish the heavy ion reactions as the specific spectroscopic tool they are expected to be.I will at first shortly discuss a few new experimental techniques, then show some rather specific examples of heavy ion reactions which show their unique possibilities, and finally discuss some new concepts which were developed for the understanding of the transfer reactions.