This book gathers papers presented at the International Conference "Vision Zero for Sustainable Road Safety in Baltic Sea Region", held on December 2018 at Vilnius Gediminas Technical University, in Vilnius, Lithuania. Taking as a starting point the multi-national road traffic safety program Vision Zero, originated in Sweden in 1995, the book aims at showing the current situation in different countries, in terms of achieved results and new challenges  in both policy implementation and available technologies. A special emphasis is given to themes such as safety of smart vehicles, human factors, public education, and urban planning. The book offers an extensive source of information and ideas concerning innovative transportation technologies and infrastructure. It addresses both researchers and decision-makers in this field.