The limited energy storage and long recharge time of electric vehicle batteries have motivated several alternatives to in-vehicle slow charging. Solutions generally fall into three categories: (1) fast charging, in which batteries are charged in-vehicle at an accelerated rate, (2) battery material reloading or refueling, in which the energy-carrying elements of the battery are physically replaced or replenished, and (3) battery interchange, involving the complete exchange of the battery pack, usually with the aid of some semi-automated mechanism. Among these options, the last, battery interchange, has tended to receive the least industry attention, but has been an expansive topic of invention and novel deployment.This paper reviews battery interchange technology, including discussion of advantages and limitations, the history of battery exchange concepts and implementations, the many possible interchange configurations, novel automation mechanisms, key patents, safety and regulatory considerations, and the economics of fleet and public deployments. Selected case histories will be presented dating from the late 1800's through the mid-1990's. Commercial and technical impediments will be identified. The full cost of battery interchange, including incremental vehicle costs and infrastructure costs will be assessed, and this will serve as a basis for comparison with slow and fast charging options for fleet and private vehicle operations. Battery interface and configuration standards will be discussed as possible means for facilitating wider-scale deployment. The results of a survey of the EV industry and user community on the perceived viability and acceptability of EV battery interchange will be presented.