Headspace (HS)-solid-phase microextraction (SPME) has assumed an ever increasing importance as a technique for HS sampling to study the composition of the HS of medicinal and aromatic plants. HS-SPME has mainly been applied for (a) studying the composition of the volatile fraction, including in addition to or as an alternative to other sampling techniques; (b) monitoring the biological phenomena involved with the volatile fraction of a plant; (c) discriminating between species, subspecies, varieties, cultivars, or chemotypes; and (d) quality control of plant samples. A review of 108 articles published during 2000–2005 is presented covering the use of HS-SPME in the field of aromatic and medicinal plants, selection of the most effective fiber and sampling conditions, comparison of HS-SPME and other volatile fraction sample preparation techniques, and the advantages and limits of HS-SPME when applied to medicinal and aromatic plants.