Genes underlie numerous human diseases and traits. Although we have wi
tnessed a great deal of success in identifying disease-susceptible gen
es, the task remains challenging for most of the complex diseases. Thi
s paper reviews evidence for the role of genetic factors in complex di
seases including breast cancer, diabetes and multiple sclerosis. We th
en describe strategies that can potentially optimize our chance of suc
cess in identifying genes involved in complex diseases. Advances in mo
lecular biology, particularly mapping of the human genome, statistical
methods that provide more accurate models of complex patterns of inhe
ritance, and basic medical science, which have increased our understan
ding of disease pathophysiology, will ultimately strengthen the abilit
y of the current generation of genetic epidemiological studies to iden
tify the genetic basis of complex human disorders.