The near separatrix region in tokamaks provides a new length scale par
ameter x(0) = (-dln p(0)/d(x))(-1) of the order of several Larmor radi
i. Modified drift and interchange instabilities occur in this region d
ue to longitudinal losses. The related turbulence gives rise to perpen
dicular transport and regulates the width x(0). The H-mode is set up w
hen the shear flow stabilizes these instabilities leading to the condi
tion ($) over cap rho = rho(i)/x(0) > c(1) where c(1) is of the order
unity. The L-H power threshold depends strongly on the longitudinal lo
ss mechanism. Classical thermal conduction provides a threshold scalin
g similar to the experimentally observed scaling, but the free-streami
ng loss yields a cubic dependence on B-0.