Highlights of the IAU Symposium 116 are reviewed. Some of the general themes running through the meeting are identified. These include:i) the fruitful interaction between observation, laboratory work and theory. ii) the need for understanding and, if possible, correcting for the effects of incompleteness and bias in observing lists. iii) the importance of the Magellanic Clouds, as the nearest independently evolving stellar systems, in the study of massive star formation and evolution in galaxies.