Genetically modified cotton expressing the Cry1Ac toxin has been used in Arizona since 1996 with exceptionally positive results in terms of economic returns to growers and reductions in insecticide use in cotton. Since 1995, average insecticide use in Arizona cotton has declined from greater than six applications per acre to less than two in 2000. Bt cotton has contributed greatly to these savings to growers, as have insect growth regulators used for whitefly control. Collections of pink bollworm, Pectinophora gossypiella, made in 1997 and subsequently exposed to Cry1Ac in the laboratory from 1998 to 2000, yielded a laboratory strain with susceptibility to Cry1Ac reduced 1,000 to 3,000-fold, relative to highly susceptible field populations. Unparalleled measures have been taken to detect and manage this resistance. In this report we summarize results of statewide monitoring of pink bollworm susceptibility to Cry1Ac conducted from 1997 to 2000, and results of field evaluations of the effectiveness of Bt cotton from 1995 to 2001. Susceptibility of Arizona pink bollworm to Cry1Ac, increased from 1997 to 2000. Mean corrected mortality in 1µg/ml Cry1Ac assays was 57.4% in 1997, 90.6% in 1998, 97.9% in 1999 and 97.4% in 2000. Mean corrected mortality in bioassays of 10 µg/ml also increased: it was 94.1% in 1997, 99.9% in 1998, 100% in 1999 and 100 % in 2000. Field performance of Bt cotton in 2000 continued to be excellent at 39 locations throughout Arizona cotton at which paired Bt and non-Bt fields were evaluated. Whereas non-Bt cotton fields had mean infestations of over 15% infested bolls, Bt cotton fields averaged less than 0.15% infested bolls. Thus, after six years of intensive use of Bt cotton in Arizona, pink bollworm populations show no signs of being resistant to Bollgard cotton. Indeed, for reasons that are not understood at this time, they have been found to be significantly more susceptible to the Bt toxin in Bollgard cotton at the end of the 2000 season than they were in 1997.