This article reviews research concerning the use of operant conditioning in stuttering therapy, and discusses the clinical implications of this literature. In order to be considered for this review, a report had to treat the findings of research specifically designed to use operant conditioning in the manipulation of speech disfluency. This body of experimental literature clearly indicates that operant management techniques can effectively reduce stuttering with punishment of disfluencies producing more notable results than reinforcement of fluent responses. Operant conditioning is an effective means of modifying stuttering behavior and should be more visible in terms of procedures used by speech therapists.