Experimental data on the transition from the low to high confinement mode i
n tokamaks is briefly reviewed, concentrating on those cases where the tran
sition is made by a slow change in external parameters. The first H-modes,
which occurred after the sudden application of neutral beam heating, appear
ed to result from a bifurcation of the edge transport. However, slow transi
tions produced, for example, by ohmic heating do not have the character of
a bifurcation but appear to result from a slow and reversible change in the
characteristics of the edge turbulence, which becomes increasingly intermi
ttent as the high confinement mode is approached. The experimental results
are interpreted in the light of various models of the transition process an
d of the type III or transition edge localized modes that accompany it. The
evidence is mainly against the bifurcation hypothesis but nonlinear proces
ses are clearly involved. The implications for the next generation of tokam
aks intended to reach thermonuclear ignition are discussed.