Neural variability in responding to identical repeated stimuli has been related to trial-by-trial fluctuations in ongoing activity, yet the neural and perceptual consequences of these fluctuations remain poorly understood. Using functional neuroimaging, we recorded brain activity in subjects who reported perceptual decisions on an ambiguous figure, Rubin's vase-faces picture, which was briefly presented at variable intervals of >20 s. Prestimulus activity in the fusiform face area, a cortical region preferentially responding to faces, was higher when subjects subsequently perceived faces instead of the vase. This finding suggests that endogenous variations in prestimulus neuronal activity biased subsequent perceptual inference. Furnishing evidence that evoked sensory responses, we then went on to show that the pre-and poststimulus activity interact in a nonlinear way and the ensuing perceptual decisions depend upon the prestimulus context in which they occur.fusiform face area ͉ ongoing activity ͉ BOLD fMRI ͉ prestimulus activity ͉ visual perception S ince the earliest neurophysiological recordings, two issues have puzzled brain researchers: why do, trial by trial, cortical responses to identical stimuli vary so much (1), and what is the functional significance of spontaneous neural activity, i.e., activity that cannot be accounted for by the experimental manipulation and that is thus usually discarded as unexplained variance? The two issues have in part been tied together by relating response variability to fluctuations in ongoing prestimulus activity (2, 3). In anesthetized animals, an excellent prediction of the actual response evoked in each trial was achieved by assuming a fixed stimulus-driven or task-related response from averaging and adding, trial by trial, this response to baseline activity (2). Evidence for the perceptual relevance of ongoing neural activity comes from monkey electrophysiology (4) and more recently human imaging studies (5) where periliminal stimuli were perceived when prestimulus activity was at higher levels, thus resembling effects from experimentally instructed allocation of attention. This all-or-none effect of ongoing activity on detection of periliminal stimuli could correspond to the well known behavioral effect of arousal and alertness on perceptual thresholds (6). Here, we address whether ongoing activity only impacts whether something can be perceived or whether it also influences what is perceived. We therefore investigated whether spontaneously occurring cortical activity variations in the seconds before input processing bias subsequent perceptual decisions on a suprathreshold but ambiguous visual input. We then addressed whether observed responses were simply the sum of evoked responses plus the baseline activity or whether baseline activity affected the evoked response, which would indicate an interaction between baseline activity and evoked components).Using functional magnetic resonance imaging (fMRI), we pursued this issue by asking subjects what they perceived each ...