Constraints to the sustainability of insecticide use include effects on human health, agroecosystems (e.g., beneficial insects), the wider environment (e.g., non-target species, landscapes and communities) and the selection of insecticide-resistant traits. It is possible to find examples where insecticides have impacted disastrously on all these variables and others where the hazards posed have been (through accident or design) ameliorated. In this review, we examine what can currently be surmised about the direct and indirect long-term, field impacts of insecticides upon the (...) environment. We detail specific examples, describe current insecticide use patterns, consider the contexts within which insecticide use occurs and discuss the role of regulation and legislation in reducing risk. We consider how insecticide use is changing in response to increasing environmental awareness and inevitably, as we discuss the main constraints to insecticide use, we suggest why they cannot easily be discarded. (shrink)