Present trends in the evolution of the design and interpretations of bioequ
ivalency studies are reviewed. It is suggested that, although such tests ar
e now being increasingly regarded as clinical mirrors rather than simply qu
ality control tests for final product testing, there is still the possibili
ty of simplifying such procedures. However, care must be exercised to ensur
e that changes in bioequivalency tests are introduced only after careful pu
blic discussions, which should involve both regulators and pharmaceutical s
cientists from academia and industry. Further, it is important that bioequi
valency standards shall be internally consistent and applied in a political
ly neutral manner.