The extended session on Biological Evaluations with Carbon Nanotubes was held on 18 July, 2008 in Nagano as a part of the International Carbon 2008 Conference. During this session researchers and regulators discussed recent publications that have shown significant hazards of carbon nanotubes in animal models and have received wide coverage in the lay press. The discussion focused on significance and interpretation of the data, their meaning to further development, and prevention of exposure at the workplace. The paper of Poland et al was presented and detailed by Dr. Duffin, a senior researcher at the ELEGI-COLT lab at Edinburgh University (UK). Dr. Takagi and his team did not share our discussion although they were invited to do so.