  Although fundamental for astrophysics, the processes that produce massive
stars are not well understood. Large distances, high extinction, and short
timescales of critical evolutionary phases make observations of these processes
challenging. Lacking good observational guidance, theoretical models have
remained controversial. This review offers a basic description of the collapse
of a massive molecular core and a critical discussion of the three competing
concepts of massive star formation:
  - monolithic collapse in isolated cores
  - competitive accretion in a protocluster environment
  - stellar collisions and mergers in very dense systems
  We also review the observed outflows, multiplicity, and clustering properties
of massive stars, the upper initial mass function and the upper mass limit. We
conclude that high-mass star formation is not merely a scaled-up version of
low-mass star formation with higher accretion rates, but partly a mechanism of
its own, primarily owing to the role of stellar mass and radiation pressure in
controlling the dynamics.
