Ion trap technology has recently given the drug analysis laboratory a more selective tool with an excellent signal to noise ratio (lower detection limits). GC/MS/MS, which has typically been viewed as an expensive research tool, is now available as an inexpensive, easy to use, benchtop GC/MS option. The three step MS/MS process of ion isolation; collision induced dissociation; and full scan of product ions is clearly more selective than either full scan or SIM modes of MS operation. Adjustment of the energy of collision induced dissociation (CID) accounts for part of that selectivity enhancement. Equally important, however, is the unique relationship between parent (precursor) and daughter (product) ions. Even in cases of coelutions which generate interferences with the ions chosen for SIM or full scan quantitation, MS/MS can generate daughter ions free of any interference. While signal typical decreases in the MS/MS, the multi-step process eliminates almost all of the chemical background which yields a much greater decrease in the noise. MS/MS yields remarkably flat, simple baselines with relatively simple, clean spectra. Low to sub picogram detection limits are common for MS/MS even in the presence of a biological matrix. The advantage of MS/MS will be demonstrated for a wide variety of drugs of abuse (opiates, barbiturate, amphetamines, benzodiazepines),THC, and doping analyses for sports medicine. The use of of isotopically labeled internal standards through MS/MS techniques like Multiple Reaction Monitoring will also be reviewed.