Abstract: Integrated vector management (IVM) uses multiple methods to target multiple life stages for effective control of public health pests over an extended period. Good IVM practice is the most effective means for long-term control of vectors and, when effectively done, can reduce the risk of vectored disease. However, insecticide resistance is increasingly common and insecticide resistance can reduce the efficacy of both larval and adult chemical control, the two primary methods available for rapid reduction in vector numbers. Understanding the implications of insecticide resistance on the efficacy of IVM is more difficult but we clearly must become adept at managing vectors in an environment with significant resistance. In this presentation, we briefly discuss how insecticide resistance reduces the efficacy of operational interventions, how resistance surveillance becomes an even more important part of an effective IVM program, and how to reduce the impacts of insecticide resistance on the overall efficacy of the IVM strategy.