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High-intensity discharge (HID) headlamps have several advantages over tungsten-halogen headlamps, including greater light efficiency (lumens per watt) and longer life. However, from the safety point of view, the primary attraction of HID headlamps is that, because they produce more total light, they have the potential to provide more useful illumination to the driver. At the same time, there are concerns with the effects of HID illumination on perception of the colors of important objects and glare to oncoming traffic. This paper reviews research evidence that we have accumulated over the past 14 years concerning the potential benefits and drawbacks associated with the use of HID headlighting. We conclude that the evidence strongly supports the use of well-designed HID headlamps.