A significant proportion of speech communication occurs when speakers and listeners are within face-to-face proximity of one other. In noisy and reverberant environments with multiple sound sources, auditory-visual (AV) speech communication takes on increased importance because it offers the best chance for successful communication. This chapter reviews AV processing for speech understanding by normal-hearing individuals. Auditory, visual, and AV factors that influence intelligibility, such as the speech spectral regions that are most important for AV speech recognition, complementary and redundant auditory and visual speech information, AV integration efficiency, the time window for auditory (across spectrum) and AV (cross-modality) integration, and the modulation coherence between auditory and visual speech signals are each discussed. The knowledge gained from understanding the benefits and limitations of visual speech information as it applies to AV speech perception is used to propose a signal-based model of AV speech intelligibility. It is hoped that the development and refinement of quantitative models of AV speech intelligibility will increase our understanding of the multimodal processes that function every day to aid speech communication, as well guide advances in future generation hearing aids and cochlear implants for individuals with sensorineural hearing loss.