This paper presents several case studies of metropolitan areas that have used regional visioning initiatives as a means of integrating long-range transportation and land use planning. Projects in Portland, Oregon; the Greater Wasatch Area of Utah; Charlottesville, Virginia; Sacramento, California; and Oregon’s Southern Willamette Valley are described, focusing on the public engagement process, scenario development and evaluation, and implementation through long-range transportation plans and other actions. The paper concludes with an analysis of common features and limitations of this approach, and the extent to which it may be transferable to Chittenden County, Vermont.