The structural basis for agonist and partial agonist action on the β1-adrenergic receptor was investigated. X-ray crystallography revealed that full agonists stabilized the ligand-binding pocket and induced conformational changes that facilitated the transition to the active receptor state. Partial agonists were less effective at stabilizing the pocket and inducing these changes, explaining their intermediate efficacy. Antagonists functioned as very weak partial agonists by providing little stabilization or conformational changes.