The International Symposium on Ligaments and Tendons (ISL&T) was inaugurated in 2000 in Orlando, Florida, USA. The primary purpose of the ISL&T was to call attention to the importance of ligament and tendon (L&T) research and to bring together bioengineers, biologists, and clinician-scientists in a forum where the most current research findings could be shared, critiqued and discussed. In each symposium since 2000, there have been a number of stimulating, thought-provoking discussions on current hot topics and future challenges. The ISL&T has taken place for 15 years now, and as a result, the L&T field has significantly expanded in quantity while the quality of research has also been greatly improved. In commemoration of the 30th anniversary of the Journal of Medical Biomechanics, this article will highlight some of the major advances in L&T research over the past three decades. Topics to be covered include tissue mechanics, mechanobiology, injury and healing mechanisms, and tissue repair and regeneration.