Executive summary -- 1. Strategic considerations -- 2. Plutonium feed production, handling and storage -- 3. MOX fuel fabrication -- LWR fuel assembly design, in-core fuel management and licensing -- 5. LWR MOX fuel design and performance -- 6. Transportation -- 7. Spent MOX fuel management -- 8. Waste treatment and decommissioning -- 9. Application of safeguards and physical protection to MOX fuel -- 10. Specific aspects of fast reactor MOX fuel -- 11. Alternative approaches.