This commentary explores the recent experience with and the basis for the u
se of selective estrogen receptor modulators (SERMs) to prevent breast canc
er. Chemoprevention has been a goal For many years. As newer agents are unv
eiled, they will continue to be tested against tamoxifen, the current stand
ard for the treatment and prevention of breast cancer. Raloxifene holds the
promise of treating osteoporosis with the beneficial side effect of breast
cancer prevention. The Study of Tamoxifen and Raloxifene (STAR) trial and
prior prevention studies will be discussed in an attempt understand the bri
dge from the laboratory to the clinic.