Molecular outflows in the form of wide-angle winds and/or well-collimated jets are associated with young stellar objects of all luminosities. Independent studies have established that the mass outflow rate is proportional to L$_{bol}^{0.6}$ for L$_{bol} = 0.3$ to $10^5$ L$_{\odot}$, suggesting that there is a strong link between accretion and outflow for a wide range of source luminosity and there is reasonable evidence that accretion-related processes are responsible for generating massive molecular flows from protostars up to spectral type B0. Beyond L$_{bol} \sim 10^4$ L$_{\odot}$, O stars generate powerful wide-angle, ionized winds that can dramatically affect outflow morphology and even call into question the relationship between outflow and accretion.

Recently Beuther & Shepherd 2005 have proposed an evolutionary scenario in which massive protostellar flows (up to early B spectral type) begin collimated. Once the star reaches the Main Sequence, ionizing radiation may affect the balance between magnetic and plasma pressure, inducing changes in the flow morphology and energetics. Here I review the properties of outflows from young OB stars, discuss implications and observational tests of this proposed evolutionary scenario, and examine differences between low-mass and massive star formation.