In light of the increasing need for long-term, sustainable management for Adelges tsugae (Hemlock Woolly Adelgid), researchers are investigating host-plant resistance as part of an integrated approach to combat the pest. This paper reviews the progress made towards developing a resistant hemlock in the southern Appalachians and highlights the importance of investing research and development resources in this field. Along with describing inter- and intraspecific resistance in hemlocks, this paper reviews investigations into resistance mechanisms and outlines the many options for actions that could be or are being taken to increase resistance and restore hemlock forests.