It is over 12 years since "APMC" published Bob Perry and Peter Howard's research on the use of mathematics manipulative materials in primary mathematics classrooms. Since then the availability of virtual manipulatives and associated access to computers and interactive whiteboards have caused educators to rethink the use of mathematics manipulative materials. Perry and Howard used Hynes' definition of manipulatives as "concrete models that incorporate mathematical concepts, appeal to several senses and can be touched and moved around by students." The authors' definition for a mathematics manipulative material is an object that can be handled by an individual in a sensory manner during which conscious and unconscious mathematical thinking will be fostered. In this article, the authors revisit the use of mathematics manipulative materials in primary and, in Western Australia, designated middle schools. They look at the different types and the ways in which they are used by teachers. (Contains 3 tables.)