This report1 from the ICME12 Survey Team 4 examines issues in the transition from secondary school to university mathematics with a particular focus on mathematical concepts and aspects of mathematical thinking. It comprises a survey of the recent research related to: calculus and analysis; the algebra of generalised arithmetic and abstract algebra; linear algebra; reasoning, argumentation and proof; and modelling, applications and applied mathematics. This revealed a multi-faceted web of cognitive, curricular and pedagogical issues both within and across the mathematical topics above. In addition we conducted an international survey of those engaged in teaching in university mathematics departments. Specifically, we aimed to elicit perspectives on: what topics are taught, and how, in the early parts of university-level mathematical studies; whether the transition should be smooth; student preparedness for university mathematics studies; and, what university departments do to assist those with limited preparedness. We present a summary of the survey results from 79 respondents from 21 countries.