The evolution of the regulatory process for genetically modified (GM) food in the United Kingdom is reviewed from its formal inception in 1988 to the present, drawing out lessons which have been learned from a series of cases brought to the committee for approval. The unexpected but highly professional anti-GM campaign is described, and issues regarding public perceptions of risk are discussed. Recent failures to find a consensus solution in the United Kingdom are described, and a proposal is made for a way forward.