We review how constraints on the mating probability of female worms by segr
egation within individual host guts form a critical element in the parasite
population structure of nematodes. We consider the effects of these constr
aints on the population genetics of nematodes under various assumptions reg
arding worm competition as reflected in the relationship between the abunda
nce of a certain genotype within the gut and the probability of reproductiv
e success. The consequences for the emergence of resistance to drugs and im
munotherapy and implications for host-parasite coevolution are discussed. W
e also review evidence for genetic heterogeneity in parasite populations as
a necessary prerequisite for the applicability of mating probability model
s designed to assess the population genetics of nematodes.