Epidemiology studies relating health effects to ambient levels of ozone and fine particles have led to the modification of standards in the United States for these pollutants (substitution of an 8-h standard for ozone at 80 ppbv, and addition of 24-h and annual standards for fine particles). The interrelationships of these pollutants in the atmosphere suggest the need for an integrated, science-based strategy for their control. Secondary ozone formation has been controlled through emission controls on VOC and NOx precursors. Fine particles are secondary products largely resulting from the oxidation of precursors (SO2, NOx, and VOCs). The key intermediates in both types of secondary process are free radical species and the photochemically labile compounds that produce them in the atmosphere. However, due to the complex and nonlinear nature of the processes, reductions in precursors may lead to unexpected changes in ozone and fine particle formation rates. For example, reduction in NOx emissions may reduce ozone and nitric acid levels, but lead also to increased rates of sulfate formation in clouds and increased ammonia availability for neutralization of acidic sulfate aerosols. Reductions of SO2 may reduce aerosol sulfate levels in the summer, but have no effect in other seasons. Reductions in VOCs may reduce ozone levels in urban core areas, but not elsewhere. An integrated, regionally and seasonally specific, emission reduction strategy is needed to cost-effectively reduce both ozone and fine particle levels.