A brief review of pedestrian injury research in Europe is made. The circumstances of pedestrian accidents are described and particular attention is given to the location of the pedestrian's initial contact with the vehicle exterior and to the speed of the vehicle at impact. The dynamics of pedestrian impact are described. Some data on the pattern of pedestrian injury is presented and the general cause of pedestrian injury considered. The influence of bumper height, bonnet height, bumper lead and front structure compliance on pelvic and leg injuries is considered. The influence of vehicle design on vehicle contact head injuries is examined. Consideration is given to the likely benefits to pedestrians that could accrue from changes in vehicle exterior design.