Reducing Fusarium head blight (FHB) and deoxynivalenol (DON) accumulation in cereals requires identifying sources of genetic resistance, as resistance is quantitative and no variety exhibits complete resistance, and eliminating factors that increase susceptibility, such as the RhtD1b semi-dwarfing gene which is associated with reduced FHB resistance due to impaired anther extrusion. Breeding efforts aim to combine major resistance genes/QTL from sources like Sumai 3 wheat with additional genes/mechanisms to provide robust multi-genic FHB and DON resistance adapted to European wheat backgrounds.