The Burkholderia cepacia complex (Bcc) is a group of closely related bacterial species that emerged in the 1980s as the etiological agents of severe and often lethal respiratory infections among cystic fibrosis (CF) patients.After several outbreaks in CF centers in Europe and North America, segregation measures were introduced to avoid patientto-patient transmission. Presently, the prevalence of Bcc infections among CF patients worldwideisbelow5%inthemajorityofCFcenters,althoughexceptionsareregistered in some European countries. Infections by these pathogens remain problematic due to the high resistance to antimicrobials, the easy patient-to-patient transmission, and the unpredictable outcome of infections that range from asymptomatic carriage to the cepaciasyndrome,afulminatingpneumoniaoftenassociatedwithsepticemiathatcan leadtothedeceaseofpatientswithinaperiodoftimeasshortas1week.Inthischapter, wereviewtheevolvingepidemiologyofBccinfectionsinCFpatients,thevirulencetraits and mechanisms used by these bacteria, and the recent developments in vaccine and vaccinecomponentsresearchtopreventBccinfections.