This paper discusses the possible causes of musculoskeletal pain in VDT workers and outlines strategies to minimize it. The paper reviews workstation, chair, and keyboard design, and makes recommendations to improve user comfort. Also discussed is worker selection, training, posture, conditioning, and rest breaks. Short term musculoskeletal discomfort is experienced by many VDT operators in the telecommunications industry and chronic disability may result in the long term. It is important that the ergonomist and office manager work together to improve the working conditions in this important occupational area.