This document summarizes the neuromuscular transmission process, including the structure and function of the neuromuscular junction, the role of acetylcholine, and the effects of various drugs. It describes how motor neurons innervate muscle fibers to form motor units. Transmission involves the release of acetylcholine from the motor neuron terminal, which binds nicotinic receptors and opens ion channels on the muscle fiber membrane. Various toxins and conditions like myasthenia gravis and Lambert-Eaton syndrome can disrupt this process.