Understanding methods of vector control is essential to vector-borne disease (VBD) management. Vaccines or standard medical interventions for many VDBs do not exist or are poorly developed so disease control is focused on managing vector numbers and dynamics. This involves understanding not only the population dynamics but also the population genetics of vectors. Using mosquitoes as a case study, in this chapter, the modern genetics-based methods of vector control (self-limiting, self-sustaining) on mosquito population and disease suppression will be reviewed. These genetics-based methods highlight the importance of understanding the interplay between genetics and ecology to develop optimal, cost-effective solutions for control. The chapter focuses on how these genetics-based methods can be integrated with other interventions, and concludes with a summary of regulatory and policy perspectives about the use of these approaches in the management of VBDs.