In the past ten years there has been a significant shift in the way users access telecommunication networks. Mobile subscribers now outnumber fixed-line subscribers by a ratio of more than three to one. Several new access platforms have emerged during the past decade. In particular, users continue to move from dial-up Internet connections to broadband. This chapter examines network changes in the industry as fixed-line connections decline but DSL, cable Internet connections and mobile subscriptions increase. In addition, the chapter examines how the lines between fixed and mobile telephony are blurring. There is also discussion of prepaid mobile, the growth of 3G and the shift towards fibre networks. Finally, the chapter tracks investment trends that show a return to growth.