Neuromodulation has become a mainstay of the management of difficult overactive bladder cases. Innovation in this field continues - as evidenced by new technologies utilizing different stimulation targets. This roundtable will examine several emerging technologies including tibial nerve implants and innovations in sacral, transcranial as well as non-invasive spinal stimulation. An awareness of these new modalities is critical as we continue to seek to improve the care of our patients with OAB.