This chapter contains a discussion of quantization over noisy channels. The effects of channel noise on the performance of vector quantizers are discussed and algorithms for the design of noisy-channel vector quantizers are presented. It is argued that in certain practical situations where delay and complexity place hard limits on system parameters, a combined source-channel coding approach might be preferable to the more traditional tandem source-channel coding. Examples of full-searched, multi- stage and finite-state vector quantization designed for a noisy channel are provided for coding of speech line spectrum pair parameters.