Traffic volume has been rising steadily over the last decades and will continue to do so. On the other hand there is an increasing awareness that road traffic is one of the main contributors to air pollution. Intermodal transport is seen as an ecological alternative and is highly promoted nationally as well as on an international level. Numerous studies showed that inland waterway transport is the mode of transport least detrimental to the environment. While intermodal traffic has a lot of advantages, it has one major drawback: the transhipment processes on either end of the main haul prolong the door-to-door lead time and result in additional cost. Therefore it is important to organise these transhipment processes in the most effective way. This thesis gives an overview over the existing processes for transhipping intermodal loading units on and off inland waterway ships and tries to evaluate them with a view to a number of relevant aspects. It also presents a couple of current projects that aim to enhance the use of inland waterway shipping in continental intermodal transport.