The genomic revolution has generated an extraordinary resource, the catalog
of variation within the human genome, for investigating biological, evolut
ionary and medical questions. Together with new, more efficient platforms f
or high-throughput genotyping, it is possible to begin to dissect genetic c
ontributions to complex trait diseases, specifically examining common varia
nts, such as the single nucleotide polymorphism (SNP). At the same time, th
ese tools will make it possible to identify determinants of disease with th
e expectation of eventually, tailoring therapies based upon specific profil
es. However, a number of methodological, practical and ethical issues must
be addressed before the analysis of genetic variation becomes a standard of
clinical medicine. The currents of variation in human biology are reviewed
here, with a specific emphasis on future challenges and directions.