Massive stars emit copious quantities of radiation which pushes against infalling material. In the past, it was thought that this radiation pressure might be substantial enough to halt accretion onto the massive protostar and prevent the formation of stars with masses more than a few tens of solar masses. Recent theoretical work has shown that the production of a jet and outflow clears a cavity through which much of the radiation from a massive protostar can escape without hindering accretion through the disk and onto the protostar. Present thinking is that massive stars may therefore be able to form by a mechanism similar to that by which low mass stars form.