In drug design, often enough, no structural information on a particular rec
eptor protein is available. However, frequently a considerable number of di
fferent ligands is known together with their measured binding affinities to
wards a receptor under consideration. In such a situation, a set of plausib
le relative superpositions of different ligands, hopefully approximating th
eir putative binding geometry, is usually the method of choice for preparin
g data for the subsequent application of 3D methods that analyze the simila
rity or diversity of the ligands. Examples are 3D-QSAR studies, pharmacopho
re elucidation, and receptor modeling. An aggravating fact is that ligands
are usually quite flexible and a rigorous analysis has to incorporate molec
ular flexibility. We review the past six years of scientific publishing on
molecular superposition. Our focus lies on automatic procedures to be perfo
rmed on arbitrary molecular structures. Methodical aspects are our main con
cern here. Accordingly, plain application studies with few methodical eleme
nts are omitted in this presentation. While this review cannot mention ever
y contribution to this actively developing field, we intend to provide poin
ters to the recent literature providing important contributions to computat
ional methods for the structural alignment of molecules. Finally we provide
a perspective on how superposition methods can effectively be used for the
purpose of virtual database screening. In our opinion it is the ultimate g
oal to detect analogues in structure databases of nontrivial size in order
to narrow down the search space for subsequent experiments.